Brian Roman Iwanicki
Brian Roman Iwanicki is a Behavior Analyst in Portage, Michigan. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
5250 Lovers Ln Ste 130Portage, MI 49002-1579
Phone: (269) 425-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X (IL) |
|---|
Record details
| NPI number | 1538677117 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2018 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
| Mailing address | Po Box 663, Lakeland, MI 48143-0663 |
Other providers in Portage
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Mya Hernandez
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Meredith Ayers Holland
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Wesley Hyames
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Nicholis Ingle, BCBA
5250 Lovers Ln, Portage, MI 49002-1580 · (269) 425-1536
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Adelaide Kauchak
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Liliya Klimova
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Jeana Lin Koerber, BCBA
9616 Portage Rd, Portage, MI 49002-7257 · (269) 250-8242
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Mary Kooiker
1617 E Milham Ave Ste 2, Portage, MI 49002-3049 · (269) 303-5931