Individual
MR. CARLOS ALEXANDER CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA., BCBA
Contact information
Practice address
6 LINDEN AVE, STANHOPE, NJ 07874-2638
(718) 775-0110
Mailing address
6 LINDEN AVE, STANHOPE, NJ 07874-2638
(718) 775-0110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47444
NJ
Other
Enumeration date
10/15/2021
Last updated
03/26/2023
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