Individual
SPENCER GRACEYN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 NE KELLY AVE, GRESHAM, OR 97030-5629
(503) 912-5506
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(503) 912-5508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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