Individual
JONATHAN RAY MANDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 NE CLARK AVE APT 2, BATTLE GROUND, WA 98604-8112
(360) 949-2746
Mailing address
117 NE CLARK AVE APT 2, BATTLE GROUND, WA 98604-8112
(360) 949-2746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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