Individual
CARL JEFFERSON JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DEGRAW AVE, TEANECK, NJ 07666-4094
(973) 910-9040
Mailing address
232 BIDWELL AVE APT 45, JERSEY CITY, NJ 07305-3394
(786) 794-3127
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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