Individual
GARY PAUL PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3428 W MARKET ST, FAIRLAWN, OH 44333-3339
(330) 668-4041
Mailing address
3428 W MARKET ST, FAIRLAWN, OH 44333-3339
(330) 668-4041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-44985
OH
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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