MR. Gavin Michael Lee Booker

NPI #1689305419 in South Euclid, Ohio

Provider Information

NPI Number
1689305419
Entity Type
Individual
Name
MR. Gavin Michael Lee Booker
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jun 22, 2022
Last Updated
Jun 22, 2022

Practice Location

Address
1585 WESTDALE RD
State
Ohio
ZIP Code
44121-3019
Phone
(216) 501-0759

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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