Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 103K00000X | Behavior Analyst | ||
N | 104100000X | Social Worker | ||
N | 1041C0700X | Clinical Social Worker | ||
N | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1093376972 |
---|---|
Provider Name | Jocelyn Muse-Taylor |
First Address | Haddonfield, NJ 08033-0789 |
Second Address | Maple Shade, NJ 08052-1923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2019 |
Last Update Date | 22/06/2019 |