Gavin Shaun Allicock-Lim
NPI #1851176663 in Poway, California
Provider Information
- NPI Number
- 1851176663
- Entity Type
- Individual
- Name
- Gavin Shaun Allicock-Lim
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Aug 29, 2023
Practice Location
- Address
- 14426 KENNEBUNK ST
- City
- Poway
- State
- California
- ZIP Code
- 92064-5921
- Phone
- (858) 602-9182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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