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Individual

KATIRIA SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30 E PROSPECT ST, HAWTHORNE, NJ 07506-3755
(862) 668-3544
Mailing address
30 E PROSPECT ST, HAWTHORNE, NJ 07506-3755
(862) 668-3544

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/06/2019
Last updated
10/06/2019
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