Individual
ELLEN MANILOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
32 WRENTHAM DR, MEDFORD, NJ 08055-3825
(609) 953-7673
Mailing address
32 WRENTHAM DR, MEDFORD, NJ 08055-3825
(609) 953-7673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1355
—
Other
Enumeration date
02/15/2009
Last updated
02/15/2009
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