Individual
JONATHAN NICHOLAS BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6004 WALDEN DR, KNOXVILLE, TN 37919-6337
(865) 766-5775
Mailing address
5554 RESEDA BLVD STE 203, TARZANA, CA 91356-6212
(818) 705-5522
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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