Individual
MAXWELL OSAHON ASABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
Mailing address
470 HAMILTON ST APT C, SOMERSET, NJ 08873-5518
(908) 721-1436
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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