Individual
ATIYA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WALNUT ST, NORTH BRUNSWICK, NJ 08902-2228
(862) 230-3228
Mailing address
14 WALNUT ST, NORTH BRUNSWICK, NJ 08902-2228
(862) 230-3228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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