LISA WALL

BRICK, NJ
NPI1104245513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: NJ  1-14-15120)
Enumeration Date2014-04-14
Last Update Date2014-04-14
Business Address
-- LISA WALL
496 RENA CT
BRICK, NJ 08724-7150
Phone number: 848-448-4002
Mailing Address
-- LISA WALL
496 RENA CT
BRICK, NJ 08724-7150
Phone number: