Individual
JESSICA RUTH DONLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 432-2010
Mailing address
408 EDNA AVE, LINWOOD, NJ 08221-1863
(609) 432-2010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43512
NJ
Other
Enumeration date
08/26/2021
Last updated
10/27/2022
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