NPI 1114322005

Amanda Brock, MSBCBA

Practitioner Behavior Analyst Marlton, NJ

Practice location

Address: 3002 Lincoln Dr W, Marlton, NJ 08053-1527
Phone: (856) 810-7599

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-14-15161 (PA)

Other Behavior Analyst providers in New Jersey →

Registry record

NPI: 1114322005
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2014
Record last updated: 4 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.