Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark David Roth, MA

Individual provider Behavior Analyst · NPI 1356651640

Mr. Mark David Roth, MA is a Behavior Analyst in Bangor, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2010
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

118 Maple St
Bangor, ME 04401-4032
Phone: (207) 947-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 198 (ME)

Record details

NPI number1356651640
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedOctober 20, 2010
Last updated in NPPESOctober 20, 2010
Mailing address118 Maple St, Bangor, ME 04401-4032

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