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1356013957
NIA STATION
LAKEWOOD, NJ
NPI
1356013957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NE RBT-21-185042)
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
NIA STATION
212 2ND ST STE 202A
LAKEWOOD, NJ 08701-3951
Phone number: 402-252-1363
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Mailing Address
NIA STATION
212 2ND ST STE 202A
LAKEWOOD, NJ 08701-3951
Phone number: 402-252-1363
Copy
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