Individual
WADED ORTA FONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CRAIG RD, MANALAPAN, NJ 07726-8787
(866) 557-8669
Mailing address
100 CRAIG RD, MANALAPAN, NJ 07726-8787
(866) 557-8669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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