NPI 1831689298

Jamie Larson

Practitioner Assistant Behavior Analyst King of Prussia, PA

Practice location

Address: 1001 W 9th Ave STE Bandc, King of Prussia, PA 19406-1209
Phone: (610) 831-1865
Mailing address: 2580 Lin DO CT, Sumter, SC 29150-1832

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-12-5109 (PA)

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Registry record

NPI: 1831689298
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2018
Record last updated: 11 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.