TYLER LEE FAGAN

SACRAMENTO, CA
NPI1679256234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-08-10
Last Update Date2023-08-10
Business Address
TYLER LEE FAGAN
1300 ETHAN WAY STE 175
SACRAMENTO, CA 95825-2277
Phone number: 833-599-2560
Mailing Address
TYLER LEE FAGAN
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 833-599-2560
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