Individual
CHARISSE MEI MARQUEZ NICDAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 CISELEY DR, SICKLERVILLE, NJ 08081-5718
(805) 218-9782
Mailing address
114 CISELEY DR, SICKLERVILLE, NJ 08081-5718
(805) 218-9782
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34334
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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