Individual
IAN NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 GROVE ST, WORCESTER, MA 01605-3909
(855) 295-3276
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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