Selena Provorse, RBT

NPI #1023772621 in Westlake, Ohio

Provider Information

NPI Number: 1023772621
Entity Type: Individual
Name: Selena Provorse, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Oct 29, 2021
Last Updated: Oct 29, 2021

Practice Location

Address: 29077 CLEMENS RD
City: Westlake
State: Ohio
ZIP Code: 44145-1135
Phone: (440) 871-6568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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