Individual provider · NPI-1
Kimberly Aguirre
Behavior Technician · Newark, NJ
NPI number1982390597
StatusActive
Last updated in NPPESApr 17, 2023
Details
- NPI
- 1982390597
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Aguirre
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2023
- Certification date
- Apr 15, 2023
- Last updated
- Apr 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | A31194358857972 | NJ | Yes |
Practice location
311 1st AveNewark, NJ 07107-1307
Phone 862-400-9668
Mailing address
311 1st AveNewark, NJ 07107-1307
Phone 862-400-9668
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