Mallory, Jonmeliah

Mallory, Jonmeliah is an individual health care provider with primary practice located at 106 Ren Way , St Johns FL 32259-9407. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mallory, Jonmeliah can be contacted via phone (904) 325-4260.

Contact Information

Primary practice address
106 Ren Way St Johns FL 32259-9407
Phone: (904) 325-4260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1639712896
LBN Legal business name Mallory, Jonmeliah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Feb 28th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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