Individual
BONNY LEE PHOTINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
283 AVERY ST, ASHLAND, OR 97520-2201
(541) 531-0862
Mailing address
283 AVERY ST, ASHLAND, OR 97520-2201
(541) 531-0862
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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