Individual
JESSICA MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 CHAUCER DR, BERKELEY HEIGHTS, NJ 07922-1873
(908) 447-1369
Mailing address
227 CHAUCER DR, BERKELEY HEIGHTS, NJ 07922-1873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
06-2929
NJ
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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