Individual
JENNA MISYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HALF MILE RD, RED BANK, NJ 07701-6749
(855) 832-6727
Mailing address
125 HALF MILE RD, RED BANK, NJ 07701-6749
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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