Individual
ANGELINA MARIE LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
1 STONE AVE, ELMWOOD PARK, NJ 07407-1150
(973) 572-4216
Mailing address
132 HOLLYWOOD AVE, FAIRFIELD, NJ 07004-1223
(973) 647-2745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12041120
NJ
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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