Individual
JODI GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
221 GROVE ST, AVOCA, PA 18641-1507
(570) 335-0357
Mailing address
221 GROVE ST, AVOCA, PA 18641-1507
(570) 335-0357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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