Individual
LISA CINIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 LACEY RD, SUITE 3, FORKED RIVER, NJ 08731-2200
(609) 242-3322
Mailing address
210 NORTH PARK DR, WOODBRIDGE, NJ 07095
(908) 930-6890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
878456
NJ
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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