Individual
MISS MADISON JANUIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CABIN BROOK CRES, MANCHESTER, NJ 08759-5047
(609) 618-9174
Mailing address
59 PARKERS POINT BLVD, FORKED RIVER, NJ 08731-4808
(609) 618-9174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97152
—
NJ
Enumeration date
02/20/2023
Last updated
02/20/2023
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