Most Relevant Information
Provider Data
| NPI Number: | 1003689654 |
| Provider Name: | ANABEL DE LA CARIDAD FONSECA ALVAREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB959746 |
Most Important Dates
| Enumeration Date: | 11/06/2023 |
| Last Updated: | 11/06/2023 |
Provider Practice Location
821 JERSEY AVE APT 3K
ELIZABETH
NJ
072021525
Practice Location Phone/Fax
| Phone: | 9084463691 |
| Fax: |
Provider Mailing Location
821 JERSEY AVE APT 3K
ELIZABETH
NJ
072021525
Provider Mailing Phone/Fax
| Phone: | 9084463691 |
| Fax: |