Individual
FRENEL LEGENTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 VAN BUREN AVE, LINDEN, NJ 07036-2515
(908) 545-0815
Mailing address
612 VAN BUREN AVE, LINDEN, NJ 07036-2515
(908) 545-0815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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