Individual
JILLIAN LISSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 NEWMAN AVE, BAYONNE, NJ 07002-2313
(201) 232-3835
Mailing address
35 NEWMAN AVE, BAYONNE, NJ 07002-2313
(201) 232-3835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB382220
NJ
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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