Individual
CRYSTAL VOGUE BRITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 FREDERICK AVE, HAWTHORNE, NJ 07506-1253
(757) 672-5474
Mailing address
63 FREDERICK AVE, HAWTHORNE, NJ 07506-1253
(757) 672-5474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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