Individual
JAIME LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 ALUM CREEK DR, COLUMBUS, OH 43209-2705
(614) 262-7520
Mailing address
1350 ALUM CREEK DR, COLUMBUS, OH 43209-2705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24371097
OH
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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