Individual
GAIGE LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 SOCIALVILLE FOSTER RD STE 101, MASON, OH 45040-7353
(937) 322-5779
Mailing address
6469 HAMPSHIRE TRL, LIBERTY TOWNSHIP, OH 45044-5797
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
07/01/2024
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