Individual
JOSEPH ROBERT JASKOLSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 PROSPECT ST, SUMMIT, NJ 07901-2406
(908) 273-1231
Mailing address
8454 S 2200 W, WEST JORDAN, UT 84088-9516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
J07524107911915
NJ
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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