Individual
AMANDA JURKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
7 REGENT ST STE 708, LIVINGSTON, NJ 07039-1628
(551) 237-4646
Mailing address
223 S 19TH AVE, MANVILLE, NJ 08835-1635
(908) 531-9884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
81-2867213
NJ
2255A2300X
Athletic Trainer
J93780367857914
NJ
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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