Individual
LISA JANE MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12-77 GEORGE ST, FAIR LAWN, NJ 07410-1833
(201) 638-8387
Mailing address
12-77 GEORGE ST, FAIR LAWN, NJ 07410-1833
(201) 638-8387
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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