Individual
JENNIFER MCKIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
Mailing address
525 S 3RD AVE FL 2, HIGHLAND PARK, NJ 08904-2518
(732) 309-2032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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