Individual
ERIKA GRISSELLE MORALES-MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
263 ELLERY AVE, NEWARK, NJ 07106-2926
(973) 368-5191
Mailing address
263 ELLERY AVE, NEWARK, NJ 07106-2926
(973) 368-5191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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