Individual
AMIRA EL-BOGHDEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BOLTEN PL, BLOOMFIELD, NJ 07003-5505
(973) 583-1997
Mailing address
19 BOLTEN PL, BLOOMFIELD, NJ 07003-5505
(973) 583-1997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46313
NJ
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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