Antonina Chugunov

NPI #1538896105 in Pemberton, New Jersey

Provider Information

NPI Number: 1538896105
Entity Type: Individual
Name: Antonina Chugunov
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 4, 2022
Last Updated: Aug 4, 2022

Practice Location

Address: 43 ELIZABETH ST
City: Pemberton
State: New Jersey
ZIP Code: 08068-1232
Phone: (609) 316-0195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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