Individual
LOURDES LABOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTRAL AVE STE 2, WESTFIELD, NJ 07090-2561
(732) 204-1635
Mailing address
61 3RD ST APT 1, ELIZABETH, NJ 07206-2748
(908) 986-4920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000000000
NJ
106S00000X
Behavior Technician
—
NJ
Other
Enumeration date
07/01/2022
Last updated
07/06/2022
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