Individual
MARK PAUL DOUGLASS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
(330) 319-8800
Mailing address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
(330) 319-8800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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