Individual
JARVIS LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
(484) 681-2174
Mailing address
583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
(484) 681-2174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-140898
PA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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