Individual
DR. MICHAEL TOMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA-D, LBA
Contact information
Practice address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7774
(269) 355-6621
Mailing address
302 N JOHN ST, DECATUR, MI 49045-1365
(269) 330-0696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000344
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-26425
BEHAVIOR ANALYST CERTIFICATION
—
01
—
7401000344
BEHAVIOR ANALYST LICENSE
MI
Enumeration date
03/21/2017
Last updated
07/24/2023
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