Individual
ALYSSA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(856) 981-9489
Mailing address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 953-5793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-340660
NJ
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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