Kathleen Ann Nutt
Behavior Technician in Prudenville, MI. Individual provider (NPI-1).
NPI number1124528096
StatusActive
Last updated in NPPESFeb 17, 2018
Details
- NPI
- 1124528096
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathleen Ann Nutt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2018
- Last updated
- Feb 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1070 W Houghton Lake DrPrudenville, MI 48651-9673
Phone 989-422-0279
Mailing address
206 Maple StHoughton Lake, MI 48629-9764
Phone 810-407-0440
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All 159 Behavior Technician providers in Prudenville · All 230 providers in Prudenville
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