Individual
MRS. JESSICA LYN COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
461 WESTFIELD AVE, CLARK, NJ 07066-1733
(908) 217-0320
Mailing address
461 WESTFIELD AVE, CLARK, NJ 07066-1733
(908) 217-0320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-08-4878
FL
Other
Enumeration date
01/07/2013
Last updated
07/14/2020
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