NPI 1033712302

Anthony Cannon

Practitioner Behavior Technician Blacklick, OH

Practice location

Address: 1582 N Waggoner Rd, Blacklick, OH 43004-8669
Phone: (303) 989-8169

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Ohio →

Registry record

NPI: 1033712302
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2020
Record last updated: 19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.