Individual
JONATHAN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 HARPER RD, BECKLEY, WV 25801-2642
(304) 254-9711
Mailing address
1902 HARPER RD, BECKLEY, WV 25801-2642
(304) 254-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-240583
WV
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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