Individual
ARIELLE MICHELLE BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 LACKAWANNA PL APT 251, BLOOMFIELD, NJ 07003-2958
(973) 666-1844
Mailing address
21 LACKAWANNA PL APT 251, BLOOMFIELD, NJ 07003-2958
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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