Individual
MRS. TABITHA MARIE CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14 CLIFFWOOD AVE STE 100, MATAWAN, NJ 07747-3930
(732) 466-3993
Mailing address
14 CLIFFWOOD AVE STE 100, MATAWAN, NJ 07747-3930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
721975
NJ
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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