Most Relevant Information
Provider Data
| NPI Number: | 1003210071 |
| Provider Name: | JOSEPH KOHM |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2014 |
| Last Updated: | 10/20/2014 |
Provider Practice Location
2071 ROUTE 209
BRODHEADSVILLE
PA
18322
Practice Location Phone/Fax
| Phone: | 5709926720 |
| Fax: |
Provider Mailing Location
2071 ROUTE 209
BRODHEADSVILLE
PA
18322
Provider Mailing Phone/Fax
| Phone: | 5709926720 |
| Fax: |