Mark David Roth, MA
Behavior Analyst · Bangor, ME
Practice location
118 Maple StBangor, ME 04401-4032
- Phone
- (207) 947-3628
NPI record
- NPI
- 1356651640
- Entity type
- Individual (Type 1)
- Enumeration date
- October 20, 2010
- Last updated
- October 20, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
198 | ME |
About Mark Roth
Mark David Roth, MA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 118 Maple St, Bangor, ME 04401-4032. The NPI number 1356651640 was assigned on October 20, 2010 and the record was last updated on October 20, 2010.
Mark Roth lists a license in the registry: #198 (ME) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark David Roth, MA?
The NPI number is 1356651640.
What is the phone number of Mark Roth?
The phone number listed for the practice location is (207) 947-3628.
Where is Mark Roth located?
118 Maple St, Bangor, ME 04401-4032.
What is the taxonomy code for Mark Roth?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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