Individual
TRAVIS HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 W CEDAR AVE, GLADWIN, MI 48624-1818
(989) 709-5413
Mailing address
1234 W CEDAR AVE, GLADWIN, MI 48624-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57544
—
Other
Enumeration date
09/12/2019
Last updated
08/08/2022
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