Individual
JOHANNA THERESA LALIBERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
Mailing address
45 HARRISON AVE, WALDWICK, NJ 07463-1818
(201) 270-8935
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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