Individual
MS. CHRISTINA M WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEAVERSON BLVD, BRICK, NJ 08723-7812
(866) 557-8669
Mailing address
74 N MAIN ST, NEW EGYPT, NJ 08533-1316
(732) 551-7985
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-169475
NJ
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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