Individual
MARIA M MAYANCELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DEHART PL, ELIZABETH, NJ 07202-1810
(908) 868-0531
Mailing address
10 DEHART PL, ELIZABETH, NJ 07202-1810
(908) 868-0531
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2018
Last updated
06/02/2018
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