Individual
JASON LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2923 WILSON AVE, BRONX, NY 10469-5206
(347) 698-5240
Mailing address
2923 WILSON AVE, BRONX, NY 10469-5206
(347) 698-5240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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