Individual
SEAN MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 953-5793
Mailing address
206 EVERGREEN BLVD, BROWNS MILLS, NJ 08015-2255
(609) 752-6832
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB665036
NJ
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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