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NPI Code Detail

MEDICARE: JONNA GARVIN

MEDICARE: JONNA GARVIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1700523743
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONNA GARVIN
Provider Business Mailing Address
First Line : 110 PARK CENTER DR
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-1929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 PARK CENTER DR
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-1929
Country : US
Telephone Number : 681-588-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2022
Last Update Date : 05/19/2022

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Directions to “ JONNA GARVIN ” Practice Location

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