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Individual

DAVID ABDURACHMANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
126 MELVILLE AVE, LAKEWOOD, NJ 08701-4235
(732) 886-8113
Mailing address
644 WESTON DR, TOMS RIVER, NJ 08755-3271
(718) 551-6778

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12579260
NJ

Other

Enumeration date
02/17/2025
Last updated
02/17/2025
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