Organization
SMJ BEHAVIORAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERITA JAMISON MSW (LICENSED BEHAVIOR SPECIALIST)
(215) 300-0691
Entity
Organization
Contact information
Practice address
503 S 61ST ST, PHILADELPHIA, PA 19143-1012
(215) 300-0691
Mailing address
503 S 61ST ST, PHILADELPHIA, PA 19143-1012
(215) 300-0691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001312
PA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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