Individual
VERNISSE DIANA MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 77TH ST APT 2, NORTH BERGEN, NJ 07047-5615
(201) 220-3635
Mailing address
307 77TH ST APT 2, NORTH BERGEN, NJ 07047-5615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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