Individual
MARIO FLEMING BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3042 MCKINLEY AVE, COLUMBUS, OH 43204-3653
(614) 487-7805
Mailing address
2479 LOGGERS RUN CT, COLUMBUS, OH 43235-4956
(442) 243-1279
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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