Individual
MS. STEPHANIE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1-29 34TH ST, FAIR LAWN, NJ 07410-4703
(201) 250-9509
Mailing address
1-29 34TH ST, FAIR LAWN, NJ 07410-4703
(201) 250-9509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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