Individual
STEPHANIE M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1256 MARLKRESS RD, CHERRY HILL, NJ 08003-2626
(856) 288-1097
Mailing address
80 OAKCREST LN, WESTAMPTON, NJ 08060-5740
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01-19-39216
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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