Individual
MICHELLE MARIE PETITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3 GARIBALDI AVE, MONROE, NJ 08831-2803
(917) 417-0935
Mailing address
3 GARIBALDI AVE, MONROE, NJ 08831-2803
(917) 417-0935
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57363
NJ
Other
Enumeration date
05/19/2022
Last updated
06/14/2022
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