Individual
JACK SIERPUTOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20575 CENTER RIDGE RD STE 400, ROCKY RIVER, OH 44116-3422
(440) 207-9293
Mailing address
6010 16TH AVE APT 1L, BROOKLYN, NY 11204-2297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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