Individual
ALEXANDER MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1111 W GANSON ST, JACKSON, MI 49202-4208
(810) 498-0042
Mailing address
1111 W GANSON ST, JACKSON, MI 49202-4208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-46862
CO
103K00000X
Behavior Analyst
Primary
7401001976
MI
Other
Enumeration date
02/25/2021
Last updated
04/13/2023
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