Nicholas Mewbourn

NPI #1568955532 in Marquette, Michigan

Provider Information

NPI Number: 1568955532
Entity Type: Individual
Name: Nicholas Mewbourn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 13, 2018
Last Updated: Jun 13, 2018

Practice Location

Address: 200 W SPRING ST
City: Marquette
State: Michigan
ZIP Code: 49855-4661
Phone: (906) 225-7210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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