Individual
MARISSA CHIZMADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
611 US HIGHWAY 46 W STE 302, HASBROUCK HEIGHTS, NJ 07604-3120
(201) 720-8600
Mailing address
716 MADISON ST APT 311, HOBOKEN, NJ 07030-6363
(973) 626-8400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56349
NJ
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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