MRS. Kourtney Jeanne Ippolito

NPI #1386310381 in Egg Harbor Township, New Jersey

Provider Information

NPI Number: 1386310381
Entity Type: Individual
Name: MRS. Kourtney Jeanne Ippolito
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 19, 2021
Last Updated: Aug 19, 2021

Practice Location

Address: 407 GLENN AVE
City: Egg Harbor Township
State: New Jersey
ZIP Code: 08234-6109
Phone: (609) 218-8664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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