JACKSON HOLE BEHAVIORAL SERVICES, LLC
Agencies at Kelly Ave, Jackson, WY

License number
Wyoming 1-12-11844
Category
Agencies
Type
Early Intervention Provider Agency
Owner
Name: MR. BRAD DICKEY BCBA
Title: BOARD CERTIFIED BEHAVIOR ANALYST
Phone: (715) 829-5195
Address
Address
536 E Kelly Ave, Jackson, WY 83001
National Provider ID: 1881071355
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JACKSON HOLE BEHAVIORAL SERVICES, LLC at bizstanding.com

Jackson Hole Behavioral Services, LLC

Jackson, WY

Registration:
Aug 2, 2012
Addresses:
536 E Kelly Ave, Jackson, WY 83001 (Physical)
PO Box 11231, Jackson, WY 83001 (Mailing)
State ID:
2012-000626821
Business type:
Limited Liability Company - Domestic
Expiration:
Perpetual

Agencies licenses in Wyoming








Other Doctors licenses in Wyoming