Individual
MR. IAN MICHAEL SANTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(774) 270-1766
Mailing address
1607 WHITE PINE WAY, OXFORD, MI 48371-1216
(616) 446-1047
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
07/26/2021
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