Jonathan L Miceli

NPI #1003388521 in Novi, Michigan

Provider Information

NPI Number: 1003388521
Entity Type: Individual
Name: Jonathan L Miceli
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 21, 2018
Last Updated: Dec 21, 2018

Practice Location

Address: 41521 W 11 MILE RD
City: Novi
State: Michigan
ZIP Code: 48375-1803
Phone: (248) 299-0030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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