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Jody Fuller

Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).

NPI number1013533744
StatusActive
Last updated in NPPESJun 18, 2020

Details

NPI
1013533744
Entity type
Individual (NPI-1)
Name
Jody Fuller
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2020
Certification date
Jun 18, 2020
Last updated
Jun 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

27777 Inkster Rd
Farmington Hills, MI 48334-5326

Phone 248-436-4400

Mailing address

27777 Inkster Rd
Farmington Hills, MI 48334-5326

Phone 248-436-4400

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