Individual
DENISHA GINGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108-136 MARTIN LUTHER KING JR BLVD APT 2007, NEWARK, NJ 07104-5379
(314) 252-0513
Mailing address
108-136 MARTIN LUTHER KING JR BLVD APT 2007, NEWARK, NJ 07104-5379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP11134
MD
101YP2500X
Professional Counselor
LGP11134
MD
103K00000X
Behavior Analyst
Primary
001235
NY
103K00000X
Behavior Analyst
1-15-20644
—
Other
Enumeration date
02/16/2016
Last updated
03/10/2021
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