Individual
TALITA METZKER LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PORT AVE APT 2, ELIZABETH, NJ 07206-2069
(973) 489-4035
Mailing address
80 PORT AVE APT 2, ELIZABETH, NJ 07206-2069
(973) 489-4035
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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