Individual
MIRIELA NEREY AMENEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 UNIVERSITY PLAZA DRIVE STE 100, HACKENSACK, NJ 07601-6210
(786) 454-6443
Mailing address
66 HAZELTON ST, RIDGEFIELD PARK, NJ 07660-1142
(786) 454-6443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54382
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-54382
BACB
NJ
Enumeration date
11/12/2021
Last updated
11/12/2021
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