Aidan Kolstoe
Behavior Technician in Lansing, MI. Individual provider (NPI-1).
NPI number1235754755
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1235754755
- Entity type
- Individual (NPI-1)
- Name
- Aidan Kolstoe
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4000 W Michigan AveLansing, MI 48917-2856
Phone 517-624-2395
Mailing address
Po Box 663Lakeland, MI 48143-0663
Phone 810-599-2129
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