Most Relevant Information
Provider Data
| NPI Number: | 1003524372 |
| Provider Name: | JEWEL PRATER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2022 |
| Last Updated: | 11/07/2022 |
Provider Practice Location
1033 LARCHWOOD RD
MANSFIELD
OH
449072424
Practice Location Phone/Fax
| Phone: | 4197474122 |
| Fax: |
Provider Mailing Location
1033 LARCHWOOD RD
MANSFIELD
OH
44907
Provider Mailing Phone/Fax
| Phone: | 4197474122 |
| Fax: |