Individual
MISS GENESIS NAOMY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 LENAPE LN, WOODBRIDGE, NJ 07095-1785
(732) 850-0988
Mailing address
709 LENAPE LN, WOODBRIDGE, NJ 07095-1785
(732) 850-0988
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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