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Individual

RICHARD JUSTIN FLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA,COBA

Contact information

Practice address
1051 TIFFANY S STE A, POLAND, OH 44514-1977
(856) 629-6277
Mailing address
52 S CADILLAC DR, BOARDMAN, OH 44512-3320
(234) 866-0141

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103K00000X
Behavior Analyst
Primary
COBA.00929
OH

Other

Enumeration date
09/02/2017
Last updated
04/09/2024
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