Individual
MR. KHALIPA K OLDJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
365 BOLTON RD, EAST WINDSOR, NJ 08520-5507
(609) 216-8468
Mailing address
365 BOLTON RD, EAST WINDSOR, NJ 08520-5507
(609) 216-8468
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62059
NJ
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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