Ajah Ricarrdo
Behavior Technician in Union, NJ. Individual provider (NPI-1).
NPI number1104643147
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1104643147
- Entity type
- Individual (NPI-1)
- Name
- Ajah Ricarrdo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 22, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1935 Oakwood PkwyUnion, NJ 07083-5476
Phone 908-525-8145
Mailing address
1935 Oakwood PkwyUnion, NJ 07083-5476
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