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Individual

JONATHAN PATRICK ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4600 KIETZKE LN STE M246, RENO, NV 89502-5000
(702) 319-1555
Mailing address
4600 KIETZKE LN STE M246, RENO, NV 89502-5000

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
01/31/2018
Last updated
01/31/2018
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