LEX WAYNE BOTKIN

PORTAGE, MI
NPI1831680701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  7401001541)
Enumeration Date2018-05-25
Last Update Date2025-01-03
Business Address
LEX WAYNE BOTKIN
1617 E MILHAM AVE STE B
PORTAGE, MI 49002-3049
Phone number: 269-389-9102
Mailing Address
LEX WAYNE BOTKIN
1617 E MILHAM AVE STE B
PORTAGE, MI 49002-3049
Phone number: