Most Relevant Information
Provider Data
NPI Number: | 1003322017 |
Provider Name: | JENA ROSE LIBRIZZI |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 12/28/2017 |
Last Updated: | 12/28/2017 |
Provider Practice Location
316 E KELLY DR
GALLOWAY
NJ
082059673
Practice Location Phone/Fax
Phone: | 6092188664 |
Fax: |
Provider Mailing Location
316 E KELLY DR
GALLOWAY
NJ
082059673
Provider Mailing Phone/Fax
Phone: | |
Fax: |