Jake Nathan Wolfson

NPI #1841037819 in Setauket, New York

Provider Information

NPI Number: 1841037819
Entity Type: Individual
Name: Jake Nathan Wolfson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 9, 2024
Last Updated: Jul 9, 2024

Practice Location

Address: 14 MUD RD
City: Setauket
State: New York
ZIP Code: 11733-1410
Phone: (516) 662-4063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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