Individual
KELLY MICHELLE VINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 US HIGHWAY 22, BOUND BROOK, NJ 08805-1545
(908) 967-6214
Mailing address
1952 US HIGHWAY 22, BOUND BROOK, NJ 08805-1545
(908) 967-6214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24329575
NJ
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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