Individual
JAMIE L BULJETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
1 BRIDGE PLZ N STE 275, FORT LEE, NJ 07024-7586
(201) 849-4565
Mailing address
1 BRIDGE PLZ N STE 275, FORT LEE, NJ 07024-7586
(201) 849-4565
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32990
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932648086
GROUP NPI NUMBER
—
Enumeration date
04/21/2020
Last updated
04/21/2020
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