Individual
MATTHEW DAVID LASOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1315 HIGHLAND AVE, CINNAMINSON, NJ 08077-2725
(856) 924-8280
Mailing address
1315 HIGHLAND AVE, CINNAMINSON, NJ 08077-2725
(856) 924-8280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28793
NJ
Other
Enumeration date
01/16/2018
Last updated
03/17/2018
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