Individual
IRAIDA ARVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
164 MOUNT PLEASANT AVE, WOODLAND PARK, NJ 07424-2732
(201) 259-1236
Mailing address
164 MOUNT PLEASANT AVE, WOODLAND PARK, NJ 07424-2732
(201) 259-1236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
18KT00761500
NJ
225700000X
Massage Therapist
18KT00761500
NJ
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012591236
SELF
—
Enumeration date
05/23/2019
Last updated
05/23/2019
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