Individual
MR. BRANDEN ROGER JAMBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LBS, BCBA
Contact information
Practice address
3033 KUTZTOWN RD SIDE 1, READING, PA 19605-2698
(484) 650-1461
Mailing address
3033 KUTZTOWN RD SIDE 1, READING, PA 19605-2698
(484) 650-1461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004717
PA
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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