Individual
JESSICA MARIE LEAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 BRIDGE ST, METUCHEN, NJ 08840-2291
(732) 578-8700
Mailing address
58 PORTLAND PL, MORGANVILLE, NJ 07751-1716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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