Individual
JEANINE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7-17 MANOR AVE, FAIR LAWN, NJ 07410-1744
(201) 265-2549
Mailing address
7-17 MANOR AVE, FAIR LAWN, NJ 07410-1744
(201) 265-2549
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
07/03/2016
Last updated
07/03/2016
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