Most Relevant Information
Provider Data
| NPI Number: | 1003432980 |
| Provider Name: | TROY MUMMA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-123405 |
Most Important Dates
| Enumeration Date: | 06/17/2020 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
1085 CANAAN HEIGHTS RD
DAVIS
WV
262608007
Practice Location Phone/Fax
| Phone: | 3048516643 |
| Fax: |
Provider Mailing Location
1085 CANAAN HEIGHTS RD
DAVIS
WV
262608007
Provider Mailing Phone/Fax
| Phone: | 3048516643 |
| Fax: |