Individual
JHONNAN ANTONIO CEDENO MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 ROANOKE ST, WOODBRIDGE, NJ 07095-2546
(848) 203-6621
Mailing address
195 ROANOKE ST, WOODBRIDGE, NJ 07095-2546
(848) 203-6621
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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