Individual
DR. JONATHAN WILLIAM IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., BCBA-D
Contact information
Practice address
2014 W 29TH ST, ERIE, PA 16508-1008
(570) 294-4827
Mailing address
2014 W 29TH ST, ERIE, PA 16508-1008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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