Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-19-38547 | NJ |
NPI | 1003321787 |
---|---|
Provider Name | Mrs. Jasmine N Wright |
First Address | Jersey City, NJ 07305-2210 |
Second Address | Jersey City, NJ 07305-2210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2017 |
Last Update Date | 13/01/2020 |