Individual
EQUASHA SANTERSA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 PARKER ST, NEWARK, NJ 07104-1110
(201) 233-6236
Mailing address
213 PARKER ST, NEWARK, NJ 07104-1110
(201) 233-6236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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