Ray Allen Main Jr., RBT
Behavior Technician in Boardman, OH. Individual provider (NPI-1).
NPI number1235868043
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1235868043
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ray Allen Main Jr.
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 18-48698 | OH | Yes |
Practice location
5500 Market St Ste 119Boardman, OH 44512-2616
Phone 330-991-9117
Mailing address
5500 Market St Ste 119Boardman, OH 44512-2616
Phone 330-991-9117
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