JOSEPH PROVOST

LA MESA, CA
NPI1366134652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  RBT-21-178541)
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
JOSEPH PROVOST
4700 SPRING ST STE 300
LA MESA, CA 91942-0274
Phone number: 619-782-0700
Mailing Address
JOSEPH PROVOST
8030 LA MESA BLVD STE 25
LA MESA, CA 91942-0335
Phone number:
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