Individual
JESSICA PANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
945 RIVER AVE, LAKEWOOD, NJ 08701-5659
(732) 833-3723
Mailing address
2 CATLETT CT, MANALAPAN, NJ 07726-2841
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56420
NJ
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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