Vishnu Rajan Revish

NPI #1447089289 in Montgomery, Alabama

Provider Information

NPI Number: 1447089289
Entity Type: Individual
Name: Vishnu Rajan Revish
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 30, 2024
Last Updated: Jul 30, 2024

Practice Location

Address: 8149 OLD FEDERAL RD
City: Montgomery
State: Alabama
ZIP Code: 36117-8009
Phone: (334) 245-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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