Individual
DR. ERICK MARK DUBUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA-D
Contact information
Practice address
1405 E BURNETT AVE, LOUISVILLE, KY 40217-1577
(502) 588-0724
(502) 588-0721
Mailing address
145 CORAL AVE, LOUISVILLE, KY 40206-2017
(775) 225-6980
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA# 1-08-4322
—
Other
Enumeration date
03/04/2011
Last updated
01/13/2018
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