Individual
LANIELLE COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALLOPING HILL RD STE 205, UNION, NJ 07083-7980
(908) 686-1505
Mailing address
128 WETUMPKA LN, WATCHUNG, NJ 07069-6209
(908) 414-2979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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