Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 0-04-1483 | NJ |
NPI | 1003120577 |
---|---|
Provider Name | Margaret Anne Czekalski |
First Address | Linwood, NJ 08221-1232 |
Second Address | Marlton, NJ 08053-1527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2010 |
Last Update Date | 27/07/2010 |