Individual
MR. GAVIN MICHAEL LEE BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1585 WESTDALE RD, SOUTH EUCLID, OH 44121-3019
(216) 501-0759
Mailing address
1585 WESTDALE RD, SOUTH EUCLID, OH 44121-3019
(121) 650-1075
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-220079
OH
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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