Marilin C Illescas
NPI #1184425712 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1184425712
- Entity Type
- Individual
- Name
- Marilin C Illescas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Mar 20, 2025
- Last Updated
- Mar 20, 2025
Practice Location
- Address
- 120 LOUIS ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2935
- Phone
- (201) 966-0717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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