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Joshua M Jewell

Behavior Technician in Mansfield, OH. Individual provider (NPI-1).

NPI number1982107439
StatusActive
Last updated in NPPESDec 27, 2018

Details

NPI
1982107439
Entity type
Individual (NPI-1)
Name
Joshua M Jewell
Sex
Male
Sole proprietor
No
Enumeration date
Mar 12, 2018
Last updated
Dec 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

270 Sterkel Blvd
Mansfield, OH 44907-1508

Phone 419-774-2219

Mailing address

270 Sterkel Blvd
Mansfield, OH 44907-1508

Phone 419-774-2219

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