Individual
JOSMAY Y PEREZ-DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
Mailing address
69 SPRUCE ST, BLOOMFIELD, NJ 07003-3436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16621
NJ
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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