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NPI Code Detail

MEDICARE: JONATHAN LYON MA, LBS, BCBA

MEDICARE: JONATHAN LYON MA, LBS, BCBA
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 Analyst1-24-77346PA

General Provider Information

NPI Number : 1598580110
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LYON MA, LBS, BCBA
Provider Business Mailing Address
First Line : 5 SOUTHWATCH LN
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-8213
Country : US
Telephone Number : 717-614-3506
Fax Number :
Provider Business Practice Location Address
First Line : 7540 ALLENTOWN BLVD STE 5
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-4238
Country : US
Telephone Number : 223-797-1485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2024
Last Update Date : 11/19/2024

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