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Taylor Brinkman

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

NPI number1285932699
StatusActive
Last updated in NPPESJul 20, 2023

Details

NPI
1285932699
Entity type
Individual (NPI-1)
Name
Taylor Brinkman
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2011
Certification date
Jul 20, 2023
Last updated
Jul 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
172V00000X Community Health Worker––

Practice location

29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036

Phone 833-328-8476

Mailing address

29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036

Phone 833-328-8476

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