Jacquelyn Mahoney
Behavioral Analyst in Bismarck, ND(View on Map)
Full Name
Jacquelyn Mahoney
NPI Number
1831687532
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/27/2018
Specialties
(Taxonomies)Licenses
State
North Dakota
License Number
L37
Contact
Information
Purpose
Mailing
Location
Address
604 NORTH AVE
604 NORTH AVE
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58501-1727
58501
Country
US
US
Telephone Number
(701) 226-2061
(701) 226-2061
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/01/2019
Provider Address
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