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Individual

MS. KATIE S LEDERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA

Contact information

Practice address
297 MAIN ST, MATAWAN, NJ 07747-3230
(732) 261-1695
Mailing address
297 MAIN ST, MATAWAN, NJ 07747-3230
(732) 261-1695

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1095721
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1095721
BEHAVIOR ANALYST CERTIFICATION BOARD
NJ
Enumeration date
05/25/2011
Last updated
05/25/2011
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