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Individual

JON BAMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
4741 COLONEL ASHTON PL, UPPER MARLBORO, MD 20772-2881
(808) 300-9059
Mailing address
1314 S. GRAND BLVD STE 2 PMB 238, SPOKANE, WA 99202
(808) 300-9059

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-725
HI
103K00000X
Behavior Analyst
Primary
LBA2225
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93-2028125
HI
Enumeration date
12/28/2017
Last updated
06/11/2026
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