Individual
JASON FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
56 CHESTER ST, FRONT ROYAL, VA 22630-3391
(888) 515-1793
Mailing address
11401 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2349
(502) 297-0133
(502) 297-0289
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-292756
VA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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