Samuel Ajetomobi

NPI #1467095570 in Lunenburg, Massachusetts

Provider Information

NPI Number: 1467095570
Entity Type: Individual
Name: Samuel Ajetomobi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 21, 2019
Last Updated: Oct 21, 2019

Practice Location

Address: 132 ROBBS HILL RD
City: Lunenburg
State: Massachusetts
ZIP Code: 01462-2167
Phone: (857) 526-6056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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