Individual
STEPHANIE SPRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2 ESTHER CT, LAKEWOOD, NJ 08701-2946
(732) 523-1245
(732) 400-9170
Mailing address
2 ESTHER CT, LAKEWOOD, NJ 08701-2946
(732) 523-1245
(732) 400-9170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34712
NJ
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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