Chardonnay Conner
Behavior Technician in Detroit, MI. Individual provider (NPI-1).
NPI number1093669996
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1093669996
- Entity type
- Individual (NPI-1)
- Name
- Chardonnay Conner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2026
- Certification date
- Feb 25, 2026
- Last updated
- Feb 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MI | Yes |
Practice location
9655 Winthrop StDetroit, MI 48227-1686
Phone 313-743-2256 · Fax 313-743-2256
Mailing address
12137 Vaughan StDetroit, MI 48228-1089
Phone 313-743-2256 · Fax 313-743-2256
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