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Individual

MR. JONATHAN RICHARD PARDEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W., B.C.B.A.

Contact information

Practice address
2001 N 3RD ST STE 100, PHOENIX, AZ 85004-1495
(602) 922-6760
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000160
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14-17725
BCBA CERTIFICATE
Enumeration date
02/23/2015
Last updated
11/08/2021
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