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Audrey E Carlson

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

NPI number1043824535
StatusActive
Last updated in NPPESDec 5, 2023

Details

NPI
1043824535
Entity type
Individual (NPI-1)
Name
Audrey E Carlson
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2020
Certification date
Dec 5, 2023
Last updated
Dec 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
247200000X Technician, Other––

Practice location

5 Skyhaven Ct
Saginaw, MI 48604-1820

Phone 989-392-3133

Mailing address

5840 Cottontop Crst
Freeland, MI 48623-9148

Phone 989-392-3133

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