Individual
MELODY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
500 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1812
(856) 437-9173
Mailing address
19 GLENVIEW DR, CINNAMINSON, NJ 08077-2135
(856) 437-9173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71491
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B08705386861982
—
NJ
Enumeration date
03/22/2022
Last updated
05/03/2024
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