Individual
MICHELE REALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 OAK PL, WALDWICK, NJ 07463-1355
(201) 693-0274
Mailing address
1 OAK PL, WALDWICK, NJ 07463-1355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00293193
NJ
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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