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Individual

AMANDA KUCEVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
514 MOORE STREET, HACKETTSTOWN, NJ 07840
(908) 229-7693
Mailing address
104 CALIFON RD, LONG VALLEY, NJ 07853-3601
(908) 310-4091

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12364991
NJ
106E00000X
Assistant Behavior Analyst
0-19-9809
NJ

Other

Enumeration date
08/12/2020
Last updated
08/25/2023
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