Kendrich Eric Bates, Bachelor of Liberals
Behavior Technician in Detroit, MI. Individual provider (NPI-1).
NPI number1124592985
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1124592985
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kendrich Eric Bates
- Credential
- Bachelor of Liberals
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2019
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 6803086997 | MI | Yes |
Practice location
7310 Woodward AveDetroit, MI 48202-3165
Phone 313-896-1444 · Fax 313-831-2168
Mailing address
7310 Woodward AveDetroit, MI 48202-3165
Phone 313-896-1444 · Fax 313-831-2168
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