Individual
MICHAEL JOSEPH SPECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
171 DEER TRAIL DR, SAYLORSBURG, PA 18353-8395
(570) 977-3869
Mailing address
171 DEER TRAIL DR, SAYLORSBURG, PA 18353-8395
(570) 977-3869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19044
PA
103K00000X
Behavior Analyst
BH002240
PA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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