Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK DAVID ROTH, MA
Active Sole ProprietorMR. MARK DAVID ROTH, MA is a Behavior Analyst healthcare provider located in BANGOR, Maine. NPI 1356651640 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · BANGOR, ME
Registration Details
- NPI Number
- 1356651640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2010 (15.777437398128 yrs)
- Last Updated
- Oct 20, 2010
- License
-
198 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 MAPLE STBANGOR, ME, 044014032Browse ME providers · Browse ZIP 04401
- Phone
- 2079473628
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| LEIGH ERIN BROUGHAN | BCBA | 1760721138 |
| MS. HEATHER CORINNE LAMSON | BCBA | 1134792963 |
| THALIA A GRUNDSTROM | BCBA | 1144973322 |
| MAKAYLA BRYN MERRY | BCBA | 1669159018 |
| JENNIFER L HUFF | BCBA | 1851155337 |
| MS. COURTNEY DAWN PATTERSON | BCBA | 1568331437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.