Individual
JOHANNE SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 MAGIE AVE, ELIZABETH, NJ 07208-1504
(908) 499-8791
Mailing address
611 MAGIE AVE, ELIZABETH, NJ 07208-1504
(908) 499-8791
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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