Individual
JESSICA FAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 CLIFFWOOD AVE STE 100, MATAWAN, NJ 07747-3930
(732) 466-3993
Mailing address
329 JERSEY AVE, LONG BRANCH, NJ 07740-5018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64295
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/08/2020
Last updated
10/14/2024
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