Individual
JENNIFER C OSORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 HALF MILE RD STE 200, RED BANK, NJ 07701-6749
(855) 832-6727
(772) 675-9100
Mailing address
41 CAROLYN TER APT A, ROSELLE, NJ 07203-2866
(908) 425-5638
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41502
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/17/2015
Last updated
03/12/2021
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