Individual
MICHELLE MARIA CORSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 GREAVES PL, CRANFORD, NJ 07016-1839
(908) 858-2224
Mailing address
55 WHITNEY DR, BERKELEY HEIGHTS, NJ 07922-2515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42150
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-42150
BACB CERTIFICATION NUMBER
—
Enumeration date
02/18/2021
Last updated
02/18/2021
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