Individual
ANNLATISH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
38 N SCOTT ST, CARBONDALE, PA 18407-1888
Mailing address
316 N GARFIELD AVE, SCRANTON, PA 18504-1780
(570) 702-7208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004659
PA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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