Mallory Rea Gernand
Behavior Technician in Marysville, MI. Individual provider (NPI-1).
NPI number1013783802
StatusActive
Last updated in NPPESDec 1, 2023
Details
- NPI
- 1013783802
- Entity type
- Individual (NPI-1)
- Name
- Mallory Rea Gernand
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2023
- Certification date
- Dec 1, 2023
- Last updated
- Dec 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
195 Huron BlvdMarysville, MI 48040-1421
Phone 989-401-2244
Mailing address
5039 Villa Linde Pkwy Ste 30Flint, MI 48532-3450
Phone 989-401-2244
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