Jeffrey Marcellius Bogan Valid NPI

Individual provider · Behavior Technician · Kennett, MO

NPI

1881417079

Type

Individual (Type 1)

Primary specialty

Behavior Technician

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106S00000X

Sex

Male

Sole proprietor

No

Enumerated

2024-11-05

Last updated

2024-11-05