Individual
JAMIE LYNN DAMITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
26 PINE ST, ASHLAND, PA 17921-9584
(570) 789-4832
Mailing address
26 PINE ST, ASHLAND, PA 17921-9584
(570) 789-4832
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004681
PA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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