Gavin Shaun Allicock-Lim
Gavin Shaun Allicock-Lim is a Behavior Technician in Poway, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
14426 Kennebunk StPoway, CA 92064-5921
Phone: (858) 602-9182
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1851176663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 14426 Kennebunk St, Poway, CA 92064-5921 |
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