Jovan Andrew Roach

NPI #1700424876 in Maitland, Florida

Provider Information

NPI Number: 1700424876
Entity Type: Individual
Name: Jovan Andrew Roach
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 19, 2019
Last Updated: Dec 19, 2019

Practice Location

Address: 2301 MAITLAND CENTER PKWY
City: Maitland
State: Florida
ZIP Code: 32751-4128
Phone: (407) 574-6588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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