Jonathan Watt
Behavior Technician in Dearborn, MI. Individual provider (NPI-1).
NPI number1104719640
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1104719640
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Watt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2025
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2021 Monroe St Ste 304Dearborn, MI 48124-2926
Phone 517-245-4778 · Fax 517-698-8223
Mailing address
Po Box 12279Lansing, MI 48901-2279
Phone 517-245-4778 · Fax 517-698-8223
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