Jerrold Allen

NPI #1982420451 in Irmo, South Carolina

Provider Information

NPI Number: 1982420451
Entity Type: Individual
Name: Jerrold Allen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 29, 2024
Last Updated: Nov 29, 2024

Practice Location

Address: 104 RIVERWALK WAY
City: Irmo
State: South Carolina
ZIP Code: 29063-9321
Phone: (803) 608-2461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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