Organization
JUMPING OVER OBSTACLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHEPPARD (ABA THERAPIST)
(609) 741-9748
Entity
Organization
Contact information
Practice address
302 EARNEST GARTON RD, BRIDGETON, NJ 08302-5509
(609) 741-9748
Mailing address
302 EARNEST GARTON RD, BRIDGETON, NJ 08302-5509
(609) 741-9748
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/31/2020
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