Individual
JOREL LOUISSAINT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 MANSFIELD VLG, HACKETTSTOWN, NJ 07840-3615
(561) 674-3720
Mailing address
76 MANSFIELD VLG, HACKETTSTOWN, NJ 07840-3615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1682966279-25666-373
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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