Individual
MICHELE MARIE MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
338 E BRINKERHOFF AVE, PALISADES PARK, NJ 07650-2010
(201) 675-0307
Mailing address
338 E BRINKERHOFF AVE, PALISADES PARK, NJ 07650-2010
(201) 675-0307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70545
NJ
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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