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Individual

TABITHA R HERTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
130 MARNE RD, HOPATCONG, NJ 07843-1815
(973) 770-4225
Mailing address
130 MARNE RD, HOPATCONG, NJ 07843-1815
(973) 770-4225

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57381
NJ
106S00000X
Behavior Technician

Other

Enumeration date
01/17/2019
Last updated
03/13/2022
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