Individual
JENNIFER LEE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
23 KILMER DR, MORGANVILLE, NJ 07751-1563
(732) 617-1500
Mailing address
23 KILMER DR, MORGANVILLE, NJ 07751-1563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12474267
NJ
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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