Individual
DENISSE TRISTANCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
111 CLOVERDALE AVE, PARAMUS, NJ 07652-2503
(201) 843-3274
Mailing address
111 CLOVERDALE AVE, PARAMUS, NJ 07652-2503
(201) 843-3274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11520264
NJ
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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