Individual
ANDREW LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1039 STONERIDGE DR, BOZEMAN, MT 59718-7056
(406) 624-6599
Mailing address
1039 STONERIDGE DR, BOZEMAN, MT 59718-7056
(406) 624-6599
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-89109
MT
Other
Enumeration date
03/25/2019
Last updated
01/05/2021
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