| Michael J. Woulas, Ph.d., Inc | |
|
8891 Brighton Lane Suite 118 Bonita Springs FL 34135 | |
| (239) 949-2415 | |
| (239) 390-1327 |
| Full Name | Michael J. Woulas, Ph.d., Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8891 Brighton Lane Suite 118, Bonita Springs, Florida |
| Authorized Official Name and Position | Michael John Woulas (OWNER) |
| Authorized Official Contact | 2399492415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Woulas, Ph.d., Inc 8891 Brighton Ln Ste 118 Bonita Springs FL 34135-7514 Ph: (239) 949-2415 | Michael J. Woulas, Ph.d., Inc 8891 Brighton Lane Suite 118 Bonita Springs FL 34135 Ph: (239) 949-2415 |
| NPI Number | 1164725016 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164725016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | MT978 (Florida) | Primary |
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