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JOSEPH PROVOST

Behavior Technician

NPI: 1366134652Individual

Specialties, Licenses & Credentials

Behavior TechnicianPrimary

Behavior Technician

Code: 106S00000X

RBT-21-178541(CA)

Contact & Hours

Address
4700 SPRING ST STE 300
LA MESA, CA 91942

Quick Facts

NPI
1366134652
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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