Gao Tang Stanley

NPI #1871127597 in Spring Lake, North Carolina

Provider Information

NPI Number: 1871127597
Entity Type: Individual
Name: Gao Tang Stanley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 1018 N BRAGG BLVD
City: Spring Lake
State: North Carolina
ZIP Code: 28390-3316
Phone: (910) 295-2609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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