Individual
LINA M PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 PINE ST, BOGOTA, NJ 07603-1122
(201) 868-3802
Mailing address
57 PINE ST, BOGOTA, NJ 07603-1122
(201) 868-3802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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