Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-19-10247 |
NPI | 1114547403 |
---|---|
Provider Name | Julie Woska |
First Address | Mount Laurel, NJ 08054-3965 |
Second Address | Mount Laurel, NJ 08054-3965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2020 |
Last Update Date | 16/04/2020 |