Individual
MRS. JESSICA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39-05 WENONAH DR, FAIR LAWN, NJ 07410-5424
(201) 679-3126
Mailing address
39-05 WENONAH DR, FAIR LAWN, NJ 07410-5424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33798
NJ
Other
Enumeration date
05/14/2019
Last updated
10/17/2019
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