Individual
CHELSEA KISSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 ATRIUM WAY STE 430, MOUNT LAUREL, NJ 08054-3914
(856) 412-8840
Mailing address
1132 FAWN DR, WILLIAMSTOWN, NJ 08094-3462
(856) 340-0993
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
15BA00001100
NJ
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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