Michael W Ice, BCBA

NPI #1548822281 in West Melbourne, Florida

Provider Information

NPI Number: 1548822281
Entity Type: Individual
Name: Michael W Ice, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jul 2, 2019
Last Updated: Nov 21, 2024

Practice Location

Address: 2084 MEADOWLANE AVE
City: West Melbourne
State: Florida
ZIP Code: 32904-4950
Phone: (321) 209-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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