Individual
MARRISA KALIMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 NEWARK AVE, JERSEY CITY, NJ 07302-2812
(201) 324-1700
Mailing address
41 PATERSON ST, JERSEY CITY, NJ 07307-2724
(201) 887-6007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64030
NJ
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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