Individual
ADDYS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 ELIZABETH ST, ORANGE, NJ 07050-2810
(973) 651-8388
Mailing address
309 ELIZABETH ST, ORANGE, NJ 07050-2810
(973) 651-8388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
376G00000X
Nursing Home Administrator
—
NJ
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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