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Christopher W Larose

Behavior Technician in South Portland, ME. Individual provider (NPI-1).

NPI number1346851623
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1346851623
Entity type
Individual (NPI-1)
Name
Christopher W Larose
Sex
Male
Sole proprietor
No
Enumeration date
Aug 11, 2020
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

50 Donald B Dean Dr Ste B
South Portland, ME 04106-3373

Phone 207-274-2528

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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