Individual
MICHELLE SIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
583 MCKENDIMEN RD, MEDFORD, NJ 08055-9774
(908) 217-3076
Mailing address
583 MCKENDIMEN RD, MEDFORD, NJ 08055-9774
(908) 217-3076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB276397
NJ
Other
Enumeration date
03/29/2017
Last updated
07/17/2023
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