Individual
MR. JIMMIE DARREN BEIRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
1424 BOULEVARD AVE, HUNTINGTON, WV 25701-3604
(304) 412-1719
Mailing address
1424 BOULEVARD AVE, HUNTINGTON, WV 25701-3604
(304) 412-1719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5714
WV
Other
Enumeration date
12/24/2011
Last updated
12/24/2011
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