Individual
JOHN SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1299 FARNAM ST, OMAHA, NE 68102-1880
(402) 252-1363
Mailing address
212 2ND ST STE 202A, LAKEWOOD, NJ 08701-3951
(402) 252-1363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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