JACK LAWRENCE CANADY

SAN BERNARDINO, CA
NPI1730025198
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2026-04-28
Last Update Date2026-05-04
Business Address
JACK LAWRENCE CANADY
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408-3545
Phone number: 909-354-0887
Mailing Address
JACK LAWRENCE CANADY
4168 QUAIL RD # 41
RIVERSIDE, CA 92507-4834
Phone number: 909-354-0887
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