Individual
CHRISTINA IACUZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD, SUITE 318, EDISON, NJ 08837
(732) 204-1635
Mailing address
45 PITMAN AVE, FORDS, NJ 08863
(732) 589-1034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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