Individual
DIANA RIDA MICHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GEORGE ST, NEW BRUNSWICK, NJ 08901-1012
(732) 246-1271
Mailing address
1050 GEORGE ST, NEW BRUNSWICK, NJ 08901-1012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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