Individual
MS. STACY M MONTALTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
80 MOUNT CEDAR AVE., WALLINGTON, NJ 07057
(201) 681-1013
Mailing address
80 MOUNT CEDAR AVE., WALLINGTON, NJ 07057
(201) 681-1013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8566
FL
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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