Justin Mullen

NPI #1508510900 in Mineral Ridge, Ohio

Provider Information

NPI Number: 1508510900
Entity Type: Individual
Name: Justin Mullen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 5, 2022
Last Updated: Feb 5, 2022

Practice Location

Address: 4891 E COUNTY LINE RD
City: Mineral Ridge
State: Ohio
ZIP Code: 44440-9411
Phone: (567) 560-1976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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