Individual
MR. JOHN AVERY MALONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
398 W BAGLEY RD STE 216, BEREA, OH 44017-1312
(216) 372-7009
(440) 815-2552
Mailing address
20448 LAKE SHORE BLVD, EUCLID, OH 44123-1845
(216) 394-1484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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