Individual
DONOVAN CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(516) 639-2124
Mailing address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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