Individual
MRS. SHARON BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 WHARTON AVE, NUTLEY, NJ 07110-1341
(201) 247-0464
Mailing address
54 WHARTON AVE, NUTLEY, NJ 07110-1341
(201) 247-0464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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