Individual
MISTELLA PISTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
84 EAVES MILL RD, MEDFORD, NJ 08055-2327
(609) 502-2391
Mailing address
218 HARRISON AVE, EDGEWATER PARK, NJ 08010-2120
(609) 502-2391
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11518861
CO
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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