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MARK DECKER I

Individual Provider (NPI-1) Active

Behavior Technician

Provider Information

NPI Number
1831081439
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1649 61ST ST FL 3013, BROOKLYN, NY, 112042746
Phone
(620) 487-4401

Specialties & Taxonomies

Behavior Technician Primary

All Addresses

MAILING

3601 W 18TH AVE APT 1211

EMPORIA, KS, 668016235

(620) 487-4401

LOCATION

1649 61ST ST FL 3013

BROOKLYN, NY, 112042746

(620) 487-4401