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Deborah White

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

NPI number1114762002
StatusActive
Last updated in NPPESJul 1, 2024

Details

NPI
1114762002
Entity type
Individual (NPI-1)
Name
Deborah White
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2024
Certification date
Jul 1, 2024
Last updated
Jul 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2753 S 11th St
Niles, MI 49120-4419

Phone 574-387-4313

Mailing address

2753 S 11th St
Niles, MI 49120-4419

Phone 574-387-4313

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