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Individual

ALEXIS MULLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
59 JENSEN RD, SAYREVILLE, NJ 08872-1969
(908) 596-1622
Mailing address
59 JENSEN RD, SAYREVILLE, NJ 08872-1969
(908) 596-1622

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000000000
NJ
Enumeration date
11/16/2022
Last updated
11/16/2022
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