MR. Mark David Roth, MA

NPI #1356651640 in Bangor, Maine

Provider Information

NPI Number
1356651640
Entity Type
Individual
Name
MR. Mark David Roth, MA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Analyst
Credential
MA
Enumeration Date
Oct 20, 2010
Last Updated
Oct 20, 2010

Practice Location

Address
118 MAPLE ST
City
Bangor
State
Maine
ZIP Code
04401-4032
Phone
(207) 947-3628

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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