Individual
MARIO CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4330 SMITH RD APT 2, CINCINNATI, OH 45212-4231
(216) 338-2901
Mailing address
4330 SMITH RD APT 2, CINCINNATI, OH 45212-4231
(216) 338-2901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/09/2016
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