Individual
IVAN TYRELL RIN AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 TERHUNE AVE FL 2, JERSEY CITY, NJ 07305-2045
(201) 895-3193
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
NJ
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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