Max Jacob Grossman

NPI #1619688074 in Oak Harbor, Washington

Provider Information

NPI Number: 1619688074
Entity Type: Individual
Name: Max Jacob Grossman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 7, 2022
Last Updated: Dec 7, 2022

Practice Location

Address: 1234 NE PATRICK LN
City: Oak Harbor
State: Washington
ZIP Code: 98277-4849
Phone: (360) 720-0061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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