Individual
JOSEPH GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(187) 731-5808
Mailing address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(187) 731-5808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-47338
CA
Other
Enumeration date
09/19/2022
Last updated
09/20/2022
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