Individual
NICOLE ELIZABETH WAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2 PIN OAK LN STE 250, CHERRY HILL, NJ 08003-1630
(856) 669-0211
Mailing address
38 E GREENWOOD AVE, HADDON TOWNSHIP, NJ 08107-1245
(856) 430-2461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00079500
NJ
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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