Northern Michigan University

NPI #1821552126 in Marquette, Michigan

Provider Information

NPI Number: 1821552126
Entity Type: Organization
Organization Name: Northern Michigan University
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHERN MICHIGAN UNIVERSITY
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 1401 PRESQUE ISLE AVENUE
Address 2: 158 SERVICES BUILDING
City: Marquette
State: Michigan
ZIP Code: 49855
Phone: (906) 227-2994

Authorized Official

Name: MR. ROBERT GAVIN LEACH
Title: VP FINANCE/ADMINISTRATION
Phone: (906) 227-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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