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Organization

NORTHERN MICHIGAN UNIVERSITY

Active
Parent organization
NORTHERN MICHIGAN UNIVERSITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHERN MICHIGAN UNIVERSITY
Authorized official
MR. ROBERT GAVIN LEACH (VP FINANCE/ADMINISTRATION)
(906) 227-2200
Entity
Organization

Contact information

Practice address
1401 PRESQUE ISLE AVENUE, 158 SERVICES BUILDING, MARQUETTE, MI 49855
(906) 227-2994
Mailing address
1401 PRESQUE ISLE AVENUE, SUITE 158 SERVICES BUILDING, MARQUETTE, MI 49855
(906) 227-1000

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
01/31/2019
Last updated
01/31/2019
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