Most Relevant Information
Provider Data
NPI Number: | 1003176132 |
Provider Name: | JAYSON LOBLEY |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 05/23/2012 |
Last Updated: | 05/23/2012 |
Provider Practice Location
1900 S HARBOR CITY BLVD STE 220
MELBOURNE
FL
329014901
Practice Location Phone/Fax
Phone: | 3215430176 |
Fax: |
Provider Mailing Location
1900 S HARBOR CITY BLVD STE 220
MELBOURNE
FL
329014901
Provider Mailing Phone/Fax
Phone: | |
Fax: |