Individual
CLARISSA MILDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 FOREST AVE, PARAMUS, NJ 07652-5241
(551) 245-9090
Mailing address
37 BRUNO ST, MOONACHIE, NJ 07074-1131
(201) 414-2913
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
11/18/2019
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