Mr. HENRY OZERIGBE AGBONPOLO
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1306778964- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1209 E WALNUT ST STE C-210, COLUMBIA, MO, 652014944
- Phone
- (855) 832-6727
- Fax
- (772) 675-9100
Specialties & Taxonomies
Behavior Technician
Primary