Individual
JONATHAN DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBA (NY 001827) & NJ
Contact information
Practice address
355 HEMLOCK AVE, GARWOOD, NJ 07027-1430
(646) 321-4856
Mailing address
355 HEMLOCK AVE, GARWOOD, NJ 07027-1430
(646) 321-4856
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
10/23/2025
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