Individual
MR. OZZIE INGRAM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
7 BENSON ST, TINTON FALLS, NJ 07724-9772
(609) 757-7473
Mailing address
34 FOXTAIL LN, MONMOUTH JUNCTION, NJ 08852-2007
(609) 757-7473
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-371744
NJ
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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