Individual
FONDA JAN MOJKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
430 PENNS WAY, BASKING RIDGE, NJ 07920-3068
(973) 951-2068
Mailing address
430 PENNS WAY, BASKING RIDGE, NJ 07920-3068
(973) 951-2068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11210167
NJ
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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