Individual
JEFFREY DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 SOUTH AVE APT C14, SECANE, PA 19018-4463
(215) 626-7881
Mailing address
500 OFFICE CENTER DR STE 100, FORT WASHINGTON, PA 19034-3234
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46809
PA
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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