Individual
BERVELYNE AMBOISE-ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALLOPING HILL RD STE 205, UNION, NJ 07083-7980
(908) 345-2388
(908) 686-1506
Mailing address
1050 GALLOPING HILL RD STE 205, UNION, NJ 07083-7980
(908) 345-2388
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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