Individual
MISS JANINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GLENVIEW DR, CINNAMINSON, NJ 08077-2135
(160) 944-0037
Mailing address
19 GLENVIEW DR, CINNAMINSON, NJ 08077-2135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-264211
NJ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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