Individual
IESHA HOGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(856) 733-0811
Mailing address
212 FALCON DR, ABSECON, NJ 08201-2805
(609) 592-9597
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
11/24/2024
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