Individual
JOHNATHON BEAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 WICKERSHAM LN APT 2034, AUSTIN, TX 78741-4674
(720) 988-4794
Mailing address
2501 WICKERSHAM LN APT 2034, AUSTIN, TX 78741-4674
(720) 988-4794
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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