Individual
MARK RYAN GROWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1049 NEW LONDON DR, GREENSBURG, PA 15601-1143
(724) 599-6473
Mailing address
1049 NEW LONDON DR, GREENSBURG, PA 15601-1143
(724) 599-6473
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000012
PA
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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