STACEY LYNN GORMAN

LAKEWOOD, NJ
NPI1821642141
Former NameSTACEY LYNN FENNIMORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: NJ  1-15-21092)
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
STACEY LYNN GORMAN BCBA
2 ESTHER CT
LAKEWOOD, NJ 08701-2946
Phone number: 732-523-1245
Mailing Address
STACEY LYNN GORMAN BCBA
2 ESTHER CT
LAKEWOOD, NJ 08701-2946
Phone number: 732-523-1245
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