Individual
MARY CORTESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BROADACRES DR, BLOOMFIELD, NJ 07003-3153
(201) 371-6309
Mailing address
7 ALWOOD LN, SUCCASUNNA, NJ 07876-1504
(973) 945-1232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55591
NJ
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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