Individual
LUZ CARMELLE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 WAYNE AVE, EAST ORANGE, NJ 07018-1907
(862) 250-4542
Mailing address
27 WAYNE AVE, EAST ORANGE, NJ 07018-1907
(862) 250-4542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49665
NJ
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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