Individual
MICHAEL LEO DEPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 FOX HILL RD STE 100A, STATE COLLEGE, PA 16803-1877
(814) 238-4851
Mailing address
1400 FOX HILL RD STE 100A, STATE COLLEGE, PA 16803-1877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004524
PA
Other
Enumeration date
11/09/2019
Last updated
11/20/2019
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