Individual
JASON GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
3652 CLAIRMONT AVE S APT 3, BIRMINGHAM, AL 35222-3514
(205) 913-7623
Mailing address
3652 CLAIRMONT AVE S APT 3, BIRMINGHAM, AL 35222-3514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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