Individual
JON IVAR ORVARSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LABA
Contact information
Practice address
8 ESSEX CENTER DR, PEABODY, MA 01960-2959
(774) 277-1185
Mailing address
8 ESSEX CENTER DR, PEABODY, MA 01960-2959
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71060
MA
Other
Enumeration date
05/07/2024
Last updated
05/16/2024
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