Individual
ISABELLA VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N FRANKLIN TPKE, RAMSEY, NJ 07446-1177
(317) 815-5501
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(317) 815-5501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
706189
NJ
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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