Individual
DR. JACOB BONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., BCBA-D
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 926-7200
Mailing address
2155 S 55TH ST, APT 3011, TEMPE, AZ 85282-2039
(602) 926-7200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-91
AZ
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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