Individual
KRISTIN TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CENTRAL AVE, CRANFORD, NJ 07016-2103
(908) 272-4611
Mailing address
32 CENTRAL AVE, CRANFORD, NJ 07016-2103
(908) 272-4611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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