Individual
JAMIE BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 LAKE DR W, WAYNE, NJ 07470-5714
(973) 229-6954
Mailing address
83 LAKE DR W, WAYNE, NJ 07470-5714
(973) 229-6954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8187
NJ
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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