Individual
JEFFRI LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
800 SPAULDING ST, SAN ANGELO, TX 76903-4930
(325) 617-5845
Mailing address
1501 W BEAUREGARD AVE, SAN ANGELO, TX 76901-4004
(325) 617-5845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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