ETHAN CHRISTOPHER MCGILL

SHAWNEE, OK
NPI1902672496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  23-316745)
Enumeration Date2023-11-27
Last Update Date2024-01-25
Business Address
ETHAN CHRISTOPHER MCGILL
3954 N KICKAPOO AVE STE 1-3
SHAWNEE, OK 74804-1698
Phone number: 405-857-8280
Mailing Address
ETHAN CHRISTOPHER MCGILL
3954 N KICKAPOO AVE STE 1-3
SHAWNEE, OK 74804-1698
Phone number: 405-857-8280