Individual
JODIE A BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
450 WALKER STREET, CENTERTON, AR 72719
(314) 323-3604
Mailing address
450 WALKER ST, CENTERTON, AR 72719-9609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16827
CO
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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