Individual
AMPARO CORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 TALMAGE ROAD, EDISON, NJ 08817
(718) 215-5311
(718) 865-5165
Mailing address
118 TALMAGE ROAD, EDISON, NJ 08817
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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