Individual
MR. JOSEPH OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.C.B.A
Contact information
Practice address
76 MAPLE DR, LEHIGHTON, PA 18235-9633
(610) 390-2806
Mailing address
76 MAPLE DR, LEHIGHTON, PA 18235-9633
(610) 390-2806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000207
PA
103K00000X
Behavior Analyst
1-13-13526
—
Other
Enumeration date
12/29/2013
Last updated
12/29/2013
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