Individual
MAYA ALISEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
74 SUNRISE TER, CEDAR GROVE, NJ 07009-1423
(201) 452-8418
Mailing address
PO BOX 444, CEDAR GROVE, NJ 07009-0444
(201) 452-8418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30912
NJ
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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