Johnathan Sharp
Behavior Analyst in Detroit, MI. Individual provider (NPI-1).
NPI number1497345656
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1497345656
- Entity type
- Individual (NPI-1)
- Name
- Johnathan Sharp
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2021
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 7401001319 | MI | Yes |
Practice location
400 Renaissance Ctr Ste 2600Detroit, MI 48243-1502
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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