Amanda Adele Dougherty

NPI #1003382532 in Edison, New Jersey

Provider Information

NPI Number: 1003382532
Entity Type: Individual
Name: Amanda Adele Dougherty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 23, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 3826 PARK AVE STE 102
City: Edison
State: New Jersey
ZIP Code: 08820-2565
Phone: (848) 247-6235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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