Individual
ABBY EDITH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
231 BRIDGE ST BLDG F, METUCHEN, NJ 08840-2292
(201) 577-1443
Mailing address
188 CEDAR ST # 2, GARFIELD, NJ 07026-2744
(201) 233-8960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35311
—
Other
Enumeration date
07/23/2020
Last updated
07/28/2020
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