Most Relevant Information
Provider Data
NPI Number: | 1003599218 |
Provider Name: | DAWSON MULL |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 08/14/2023 |
Last Updated: | 08/14/2023 |
Provider Practice Location
1434 W CHICAGO BLVD STE B2
TECUMSEH
MI
492868727
Practice Location Phone/Fax
Phone: | 2487148445 |
Fax: |
Provider Mailing Location
1311 MAMARONECK AVE STE 140
WHITE PLAINS
NY
106055224
Provider Mailing Phone/Fax
Phone: | 9142944050 |
Fax: |