Leo Gross III

NPI #1023617818 in Warr Acres, Oklahoma

Provider Information

NPI Number
1023617818
Entity Type
Individual
Name
Leo Gross III
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 22, 2020
Last Updated
Oct 22, 2020

Practice Location

Address
5597 NW 50TH ST APT 5597B
ZIP Code
73122-5232
Phone
(405) 227-3293

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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