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Individual

ADAM FICHTELBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
111 AGNES PL, BOUND BROOK, NJ 08805-1411
(908) 528-2266
Mailing address
111 AGNES PL, BOUND BROOK, NJ 08805-1411
(908) 528-2266

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7770003323713101
NJ
Enumeration date
09/22/2016
Last updated
09/22/2016
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