Individual
ANGELA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ELM AVE, HAZLET, NJ 07730-2114
(917) 301-4083
Mailing address
5 ELM AVE, HAZLET, NJ 07730-2114
(917) 301-4083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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