Individual
MISS AMY LYNN FABRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
321 YALE AVE STE D, STRATFORD, NJ 08084-1247
(888) 859-7749
Mailing address
3 NORTHUMBERLAND DR, EASTAMPTON, NJ 08060-3240
(609) 265-1885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
27-4626230
NJ
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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