Individual
MICHELLE VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
415 NEW YORK AVE APT 2, LYNDHURST, NJ 07071-1536
(551) 655-9744
Mailing address
415 NEW YORK AVE APT 2, LYNDHURST, NJ 07071-1536
(551) 655-9744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54516
NJ
Other
Enumeration date
11/13/2021
Last updated
03/09/2023
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