Individual
LISA JACOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 PENNSYLVANIA WAY, NORTH BRUNSWICK, NJ 08902-3529
(848) 391-4588
Mailing address
145 PENNSYLVANIA WAY, NORTH BRUNSWICK, NJ 08902-3529
(848) 391-4588
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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