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Christina Homan

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

NPI number1558089334
StatusActive
Last updated in NPPESAug 18, 2022

Details

NPI
1558089334
Entity type
Individual (NPI-1)
Name
Christina Homan
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2022
Certification date
Aug 18, 2022
Last updated
Aug 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9880 E Michigan Ave
Galesburg, MI 49053-8641

Phone 269-665-5022

Mailing address

12291 Fort Custer Dr
Galesburg, MI 49053-8797

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