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Individual

CHRISTOPHER BIRGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
25 ORCHARD ST, DENVILLE, NJ 07834-2173
(617) 877-9757
Mailing address
50 HILLCREST RD, MOUNTAIN LAKES, NJ 07046-1327

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-09-5526
BACB
Enumeration date
06/01/2018
Last updated
06/16/2018
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