Individual
JARRELL BRAZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
540 HARMONY ST, COATESVILLE, PA 19320-3417
(484) 459-4977
Mailing address
540 HARMONY ST, COATESVILLE, PA 19320-3417
(484) 459-4977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003160
PA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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