Individual
BRYAN ROBERT JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
14307 22ND RD, WHITESTONE, NY 11357-3426
(646) 772-9618
Mailing address
14307 22ND RD, WHITESTONE, NY 11357-3426
(646) 772-9618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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