Individual
MICHAEL A MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 376-3022
Mailing address
55 MIDDLE ST, HALLOWELL, ME 04347-1114
(207) 329-7946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28275
ME
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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