Individual
NADENE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
(732) 204-1636
Mailing address
23 E 3RD ST APT D21, MOUNT VERNON, NY 10550-5404
(917) 981-0981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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