Individual
MAXIELL MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 LEXINGTON AVE, ROCHELLE PARK, NJ 07662-4312
(201) 654-5837
Mailing address
65 LEXINGTON AVE, ROCHELLE PARK, NJ 07662-4312
(201) 654-5837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60817
NJ
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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