Individual
ILYSSA SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 GRAHAM ST, HIGHLAND PARK, NJ 08904-2548
(732) 763-1621
Mailing address
338 GRAHAM STREET, HIGHLAND PARK, NJ 08904-2548
(732) 763-1621
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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