Macy Laine Diegel
Behavior Technician in Midland, MI. Individual provider (NPI-1).
NPI number1124886783
StatusActive
Last updated in NPPESMar 8, 2024
Details
- NPI
- 1124886783
- Entity type
- Individual (NPI-1)
- Name
- Macy Laine Diegel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2024
- Certification date
- Mar 8, 2024
- Last updated
- Mar 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MI | Yes |
Other names
- Macy Laine Diegel (Professional Name)
Practice location
3600 N Saginaw RdMidland, MI 48640-2301
Phone 989-423-0513
Mailing address
3600 N Saginaw RdMidland, MI 48640-2301
Phone 989-423-0513
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