Individual
KRISTIN LYN MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MCLEAN ST, RED BANK, NJ 07701-5631
(732) 997-8075
Mailing address
29 MCLEAN ST, RED BANK, NJ 07701-5631
(732) 997-8075
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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