Individual
MRS. JAIME STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
21 PARK AVE, PARK RIDGE, NJ 07656-1231
(201) 417-3873
Mailing address
21 PARK AVE, PARK RIDGE, NJ 07656-1231
(201) 417-3873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6797
NJ
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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