Individual
LUIS PENALILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1469 VAN HOUTEN AVE, CLIFTON, NJ 07013-2427
(973) 907-0160
Mailing address
1469 VAN HOUTEN AVE, CLIFTON, NJ 07013-2427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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