Lex Wayne Botkin
Lex Wayne Botkin 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
1617 E Milham Ave Ste BPortage, MI 49002-3049
Phone: (269) 389-9102
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 7401001541 (IL) |
|---|
Record details
| NPI number | 1831680701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 25, 2018 |
| Last updated in NPPES | January 3, 2025 |
| Certification date | January 3, 2025 |
| Mailing address | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 |
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