Individual
JONATHAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4434 SHERWOOD RD, PHILADELPHIA, PA 19131-1526
(267) 971-7337
Mailing address
4434 SHERWOOD RD, PHILADELPHIA, PA 19131-1526
(267) 971-7337
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9760
PA
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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