Individual
COLIN JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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