Individual
DIANE TALAL LWAYSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTRAL AVENEUE, WESTFIELD, NJ 07090
(908) 588-7500
Mailing address
24 RUSKIN CT, WAYNE, NJ 07470-2631
(973) 908-5764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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