Individual
ADAM LAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 ANTIQUE ROSEWAY, RIVERBANK, CA 95367
(209) 521-4791
Mailing address
3425 COFFEE RD SUITE C2, MODESTO, CA 95355
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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