MR. John Avery Malone JR.

NPI #1831701580 in Berea, Ohio

Provider Information

NPI Number: 1831701580
Entity Type: Individual
Name: MR. John Avery Malone JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 22, 2020
Last Updated: Aug 22, 2020

Practice Location

Address: 398 W BAGLEY RD STE 216
City: Berea
State: Ohio
ZIP Code: 44017-1312
Phone: (216) 372-7009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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