Jeffrey Marcellius Bogan

NPI #1881417079 in Kennett, Missouri

Provider Information

NPI Number
1881417079
Entity Type
Individual
Name
Jeffrey Marcellius Bogan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 5, 2024
Last Updated
Nov 5, 2024

Practice Location

Address
1109 JONES ST
ZIP Code
63857-3824
Phone
(573) 888-5925

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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