Most Relevant Information
Provider Data
| NPI Number: | 1003351537 |
| Provider Name: | JOSHUA MAIKOSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2016 |
| Last Updated: | 12/19/2016 |
Provider Practice Location
1617 E MILHAM AVE
SUITE B
PORTAGE
MI
490023049
Practice Location Phone/Fax
| Phone: | 2693035931 |
| Fax: |
Provider Mailing Location
1617 E MILHAM AVE
SUITE B
PORTAGE
MI
490023049
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |