Individual
KARISSA MASUICCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
581 HIGHLAND AVE, RIDGEWOOD, NJ 07450-4731
(201) 618-3671
Mailing address
147 HOLLAND AVE, NEW MILFORD, NJ 07646-2908
(201) 618-3671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4436
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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