Individual
MR. MICHAEL PAUL ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A, BCBA
Contact information
Practice address
3834 BIRCHWOOD CIR, HARRISBURG, PA 17110-9385
(717) 433-2598
Mailing address
3834 BIRCHWOOD CIR, HARRISBURG, PA 17110-9385
(717) 433-2598
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7586
PA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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