Individual
ALEXANDRA DIANE BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3 WELSH RD, ESSEX FELLS, NJ 07021-1209
(201) 707-1932
Mailing address
3 WELSH RD, ESSEX FELLS, NJ 07021-1209
(201) 707-1932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
271687
NJ
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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