Bo Ram Roth

NPI #1780340539 in Live Oak, Texas

Provider Information

NPI Number: 1780340539
Entity Type: Individual
Name: Bo Ram Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 16, 2021
Last Updated: Nov 16, 2021

Practice Location

Address: 7608 NARROW PASS ST
City: Live Oak
State: Texas
ZIP Code: 78233-3019
Phone: (210) 714-3545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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