Individual
JONATHAN ERIC BAKALAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 W 95TH ST, NEW YORK, NY 10025-6604
(646) 480-5756
Mailing address
143 FRANKLIN ST, VERONA, NJ 07044-1628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-1725671
NY
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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