Individual provider · NPI-1

Erika Grisselle Morales-Montalvo, Owner

Behavior Technician · Newark, NJ

NPI number1881346583
StatusActive
Last updated in NPPESJan 24, 2022

Details

NPI
1881346583
Entity type
Individual (NPI-1)
Name
Erika Grisselle Morales-Montalvo
Credential
Owner
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2022
Certification date
Jan 24, 2022
Last updated
Jan 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
171M00000X Case Manager/Care Coordinator––
171R00000X Interpreter––
372500000X Chore Provider––
103K00000X Behavior Analyst––
373H00000X Day Training/Habilitation Specialist––
374K00000X Religious Nonmedical Practitioner––
376J00000X Homemaker––
372600000X Adult Companion––
385H00000X Respite Care––

Practice location

263 Ellery Ave
Newark, NJ 07106-2926

Phone 973-368-5191

Mailing address

263 Ellery Ave
Newark, NJ 07106-2926

Phone 973-368-5191

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