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MS. KIRA ANASTASIA VASCONCELOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
Mailing address
521 56TH ST, WEST NEW YORK, NJ 07093-1201
(201) 916-3612

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
09/06/2019
Last updated
09/10/2019
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