Individual
JESSICA PREBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 OAK ST STE 3, PITTSTON, PA 18640-3716
(570) 802-3099
Mailing address
1081 OAK ST STE 3, PITTSTON, PA 18640-3716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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