Individual
MIGUEL REY DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 392-3100
Mailing address
721 1ST ST, SECAUCUS, NJ 07094-3106
(201) 686-4864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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