Individual
JASON MONDRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3428 W MARKET ST, FAIRLAWN, OH 44333-3339
(330) 668-4041
Mailing address
4917 TORRINGTON AVE, PARMA, OH 44134-2171
(440) 590-6522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25826
OH
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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