Individual
KAYLEE S WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
156 ROUTE 15 NORTH, LAFAYETTE, NJ 07848
(973) 237-1975
(973) 237-1977
Mailing address
156 ROUTE 15 NORTH, LAFAYETTE, NJ 07848
(973) 237-1975
(973) 237-1977
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
29294230
NJ
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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