Individual
JOHNATHAN RALEIGH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
3605 W PIONEER PKWY STE C, PANTEGO, TX 76013-4500
(817) 277-8870
Mailing address
3605 W PIONEER PKWY STE C, PANTEGO, TX 76013-4500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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