Erin Marie Provost

NPI #1295217560 in Fairport, New York

Provider Information

NPI Number: 1295217560
Entity Type: Individual
Name: Erin Marie Provost
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 6 N MAIN ST STE 110
City: Fairport
State: New York
ZIP Code: 14450-1581
Phone: (585) 377-6590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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