Christian Whitaker
Behavior Technician in Novi, MI. Individual provider (NPI-1).
NPI number1124594635
StatusActive
Last updated in NPPESOct 23, 2018
Details
- NPI
- 1124594635
- Entity type
- Individual (NPI-1)
- Name
- Christian Whitaker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2018
- Last updated
- Oct 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-912-1640
Mailing address
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-912-1640
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