Issac Corrette Evans JR.

NPI #1649461500 in Baltimore, Maryland

Provider Information

NPI Number: 1649461500
Entity Type: Individual
Name: Issac Corrette Evans JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 6, 2007
Last Updated: Jan 10, 2023

Practice Location

Address: 2810 HARLEM AVE
City: Baltimore
State: Maryland
ZIP Code: 21216
Phone: (410) 814-2179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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