Individual
LAUREN NICOLE ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
Mailing address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35050
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205534878
THE UNCOMMON THREAD
—
Enumeration date
07/31/2019
Last updated
07/31/2019
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