Diamond Jacklyn Mack, BACHELOR'S IN ART
NPI #1174104756 in Rahway, New Jersey
Provider Information
- NPI Number
- 1174104756
- Entity Type
- Individual
- Name
- Diamond Jacklyn Mack, BACHELOR'S IN ART
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BACHELOR'S IN ART
- Enumeration Date
- Apr 15, 2021
- Last Updated
- Apr 15, 2021
Practice Location
- Address
- 560 CAPOBIANCO PLZ APT D
- City
- Rahway
- State
- New Jersey
- ZIP Code
- 07065-5419
- Phone
- (908) 463-5621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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