Individual
MONIQUE ANTAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED BCBA LABA-VT
Contact information
Practice address
86 CROSS RD, WEST CHESTERFIELD, NH 03466-3209
(603) 545-2671
Mailing address
86 CROSS RD, WEST CHESTERFIELD, NH 03466-3209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9054
NH
Other
Enumeration date
06/02/2022
Last updated
03/06/2024
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