MARK DAVID ROTH

BANGOR, ME
NPI1356651640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: ME  198)
Enumeration Date2010-10-20
Last Update Date2010-10-20
Business Address
Mr. MARK DAVID ROTH MA
118 MAPLE ST
BANGOR, ME 04401-4032
Phone number: 207-947-3628
Mailing Address
Mr. MARK DAVID ROTH MA
118 MAPLE ST
BANGOR, ME 04401-4032
Phone number: 207-947-3628
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