Individual
KOBE M JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, RBT
Contact information
Practice address
1585 N 113TH AVE STE 102, AVONDALE, AZ 85392-3938
(623) 259-9819
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 259-9819
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-224914
—
Other
Enumeration date
05/25/2023
Last updated
07/02/2024
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