Kathleen Wood

NPI #1063058659 in Fanwood, New Jersey

Provider Information

NPI Number: 1063058659
Entity Type: Individual
Name: Kathleen Wood
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2019
Last Updated: Nov 19, 2019

Practice Location

Address: 95 FARLEY AVE
City: Fanwood
State: New Jersey
ZIP Code: 07023-1004
Phone: (646) 260-3875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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