MR. Rickey Lee Evans JR.

NPI #1043806243 in Worcester, Massachusetts

Provider Information

NPI Number: 1043806243
Entity Type: Individual
Name: MR. Rickey Lee Evans JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 12, 2020
Last Updated: Dec 12, 2020

Practice Location

Address: 328 GREENWOOD ST APT B8
City: Worcester
State: Massachusetts
ZIP Code: 01607-1746
Phone: (413) 222-3618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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