Djedlove Vital
NPI #1336025428 in Fords, New Jersey
Provider Information
- NPI Number
- 1336025428
- Entity Type
- Individual
- Name
- Djedlove Vital
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 13, 2025
- Last Updated
- Aug 13, 2025
Practice Location
- Address
- 12 WISTERIA DR APT 2E
- City
- Fords
- State
- New Jersey
- ZIP Code
- 08863-1142
- Phone
- (732) 585-8721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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