Individual
LISSET D COLETTI ORREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ENTERPRISE DR STE 301, ROCKAWAY, NJ 07866-2129
(855) 832-6727
Mailing address
263 BLOOMFIELD AVE APT 11, BLOOMFIELD, NJ 07003-4867
(862) 282-6264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CERT1-23-68649
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/23/2023
Last updated
09/10/2025
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