Individual
TAHNEISHA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 COVENTRY LN, SOMERSET, NJ 08873-4632
(973) 280-5090
Mailing address
712 COVENTRY LN, SOMERSET, NJ 08873-4632
(973) 280-5090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
947157
NJ
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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