Gary Paul Prince

NPI #1023523701 in Fairlawn, Ohio

Provider Information

NPI Number: 1023523701
Entity Type: Individual
Name: Gary Paul Prince
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2017
Last Updated: Dec 4, 2017

Practice Location

Address: 3428 W MARKET ST
City: Fairlawn
State: Ohio
ZIP Code: 44333-3339
Phone: (330) 668-4041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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