Individual
JOVAN MARCEL WIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 YORK RD STE 640, JENKINTOWN, PA 19046-2837
(484) 965-9966
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(484) 965-9966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007259
PA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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