Individual
ERICA KIM MESOPOTANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA
Contact information
Practice address
1115 CLIFTON AVE, CLIFTON, NJ 07013-3641
(973) 220-0075
Mailing address
51 WHITE OAK DR, NORTH CALDWELL, NJ 07006-4146
(973) 220-0075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2022
NJ
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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