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Tessa Jo Bronner

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

NPI number1134846405
StatusActive
Last updated in NPPESOct 26, 2022

Details

NPI
1134846405
Entity type
Individual (NPI-1)
Name
Tessa Jo Bronner
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 26, 2022
Certification date
Oct 26, 2022
Last updated
Oct 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianB656789420760MIYes

Practice location

1524 E Broadway St
Mt Pleasant, MI 48858-2933

Phone 989-854-8334

Mailing address

1524 E Broadway St
Mt Pleasant, MI 48858-2933

Phone 989-854-8334

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