Gambino, Joelle

Gambino, Joelle is an individual health care provider with primary practice located at 407 Glenn Ave , Egg Harbor Township NJ 08234-6109. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gambino, Joelle can be contacted via phone (609) 214-8664.

Contact Information

Primary practice address
407 Glenn Ave Egg Harbor Township NJ 08234-6109
Phone: (609) 214-8664
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BACB365366 New Jersey

Profile Details

NPI number 1972138139
LBN Legal business name Gambino, Joelle
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2020
Last updated Mar 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972138139 NPPES
New Jersey MEDICAID 3316

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