Individual
REBECCA KHETTRY-CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 440-5792
Mailing address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084410
FL
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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