Individual
MR. MICHAEL LEONARD MENARD-WEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
1698 NORTHAMPTON ST, HOLYOKE, MA 01040-1942
(413) 530-1666
Mailing address
1698 NORTHAMPTON ST, HOLYOKE, MA 01040-1942
(413) 530-1666
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1372
MA
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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