Individual
MR. JONATHAN DANIEL TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
945 BARLOW ST., TRAVERSE CITY, MI 49686
(231) 883-9474
(231) 525-3170
Mailing address
945 BARLOW ST., TRAVERSE CITY, MI 49686
(231) 883-9474
(231) 525-3170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000268
MI
Other
Enumeration date
01/05/2012
Last updated
01/30/2020
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