Individual
JACQUELYN RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PASSAIC AVE APT 8B, NUTLEY, NJ 07110-2917
(973) 979-3553
Mailing address
30 PASSAIC AVE APT 8B, NUTLEY, NJ 07110-2917
(973) 979-3553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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