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1366169252
MAKAYLA JACK
MOUNT LAUREL, NJ
NPI
1366169252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NJ RBT-21-162591)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
MAKAYLA JACK
1001 BRIGGS RD STE 280
MOUNT LAUREL, NJ 08054-4104
Phone number: 856-955-0811
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Mailing Address
MAKAYLA JACK
640 FREEDOM BUSINESS CTR DR STE 220
KING OF PRUSSIA, PA 19406-1376
Phone number: 484-965-9966
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