Individual
JASON GOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1000 CRAWFORD PL STE 260, MOUNT LAUREL, NJ 08054-3965
(856) 628-2965
Mailing address
PO BOX 8223, CHERRY HILL, NJ 08002-0223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15352
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-15352
BACB
—
Enumeration date
04/04/2019
Last updated
04/04/2019
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