ANDREW JACOB BACK

FAIRFIELD, CA
NPI1427811397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-02-02
Last Update Date2024-05-30
Business Address
ANDREW JACOB BACK
2450 MARTIN RD # 100
FAIRFIELD, CA 94534-1018
Phone number: 855-223-7123
Mailing Address
ANDREW JACOB BACK
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123