Individual
ALLITA I JAIYEOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
55 SCHANCK RD STE A-8, FREEHOLD, NJ 07728-2963
(732) 702-2018
Mailing address
815 BREWERS BRIDGE RD APT 16H, JACKSON, NJ 08527-1916
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36800
NJ
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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