Individual
DAVID MICHAEL SOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4118 N CLINTON ST, FORT WAYNE, IN 46805-1210
(260) 373-1050
Mailing address
4118 N CLINTON ST, FORT WAYNE, IN 46805-1210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27471
IN
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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