Individual
LAURA ELENA FERNANDEZ BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
200 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3950
(732) 426-5470
Mailing address
710 GREEN HILL MANOR DR, FRANKLIN PARK, NJ 08823-2619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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