Most Relevant Information
Provider Data
| NPI Number: | 1003340357 |
| Provider Name: | MICHAEL OBIREK |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2017 |
| Last Updated: | 04/13/2017 |
Provider Practice Location
1128 BEVILLE RD
DAYTONA BEACH
FL
321145747
Practice Location Phone/Fax
| Phone: | 3862673161 |
| Fax: |
Provider Mailing Location
175 MIDDLE ST
SUITE 1201
LAKE MARY
FL
327463625
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: | 8666100580 |