Individual
MARISSA LYNN ERCOLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1 ALDWORTH CT, MEDFORD, NJ 08055-3330
(856) 701-7494
Mailing address
6 NOTTINGHAM WAY, MOUNT LAUREL, NJ 08054-4846
(856) 701-7494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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