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Jeannie O'Brien

Behavior Technician in Traverse City, MI. Individual provider (NPI-1).

NPI number1164045829
StatusActive
Last updated in NPPESMay 28, 2020

Details

NPI
1164045829
Entity type
Individual (NPI-1)
Name
Jeannie O'Brien
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2020
Certification date
May 28, 2020
Last updated
May 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

515 W 14th St Unit D
Traverse City, MI 49684-4059

Phone 800-503-4150

Mailing address

515 W 14th St Unit D
Traverse City, MI 49684-4059

Phone 800-503-4150

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