Individual
JAMIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5344 ORANGEPORT RD, BREWERTON, NY 13029-8703
(315) 506-8482
Mailing address
5344 ORANGEPORT RD, BREWERTON, NY 13029-8703
(315) 506-8482
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001391
NY
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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