Most Relevant Information
Provider Data
NPI Number: | 1003313974 |
Provider Name: | PHILIP MICHEAL KAVA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 04/09/2018 |
Last Updated: | 04/09/2018 |
Provider Practice Location
100 E MAIN ST STE A
STANTON
MI
488888601
Practice Location Phone/Fax
Phone: | 9893729550 |
Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
Phone: | 8183452345 |
Fax: |