Individual
LEOA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 W ENGLEWOOD AVE APT 410, TEANECK, NJ 07666-5051
(201) 682-1643
Mailing address
17 W ENGLEWOOD AVE APT 410, TEANECK, NJ 07666-5051
(201) 682-1643
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2498092
NJ
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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