Individual
JEFFREY WILSON SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
304 GARIBALDI AVE, ROSETO, PA 18013-1353
(610) 216-4592
Mailing address
304 GARIBALDI AVE, ROSETO, PA 18013-1353
(610) 216-4592
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001715
PA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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