NPI 1174104756
Diamond Jacklyn Mack, BACHELORSINART
Practice location
- Address
- 560 Capobianco Plz APT D, Rahway, NJ 07065-5419
- Phone
- (908) 463-5621
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1174104756
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Apr 2021
- Record last updated
- 15 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.