Individual
NICHOLAS DEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
152 SPEEDWELL AVE, MORRISTOWN, NJ 07960-8816
(973) 656-3116
(973) 695-1465
Mailing address
152 SPEEDWELL AVE, MORRISTOWN, NJ 07960-8816
(973) 656-3116
(973) 695-1465
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-333412
NJ
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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