Organization
LINX COMMUNITY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SCOTT LYNCH (MEMBER)
(304) 834-4619
Entity
Organization
Contact information
Practice address
1307 WILLIAMSTOWN PIKE, WILLIAMSTOWN, WV 26187-8168
(304) 834-4619
Mailing address
1307 WILLIAMSTOWN PIKE, WILLIAMSTOWN, WV 26187-8168
(304) 834-4619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922731967
—
AZ
Enumeration date
08/19/2024
Last updated
12/30/2024
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