Individual
KYLE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 853-3328
Mailing address
732 BECKMAN ST, DAYTON, OH 45410-2165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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