Individual
MARIELA LAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 OAK AVE, IRVINGTON, NJ 07111-3806
(551) 326-1421
(551) 326-1421
Mailing address
5 OAK AVE, IRVINGTON, NJ 07111-3806
(551) 326-1421
(551) 326-1421
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
NJ
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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