Individual
LAURA O CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WHITTAKER ST, RIVERSIDE, NJ 08075-3935
(832) 629-2440
Mailing address
31 WHITTAKER ST, RIVERSIDE, NJ 08075-3935
(832) 629-2440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00290900
NJ
Other
Enumeration date
08/24/2020
Last updated
12/16/2025
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