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Elizabeth Ann White

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

NPI number1619702636
StatusActive
Last updated in NPPESSep 9, 2024

Details

NPI
1619702636
Entity type
Individual (NPI-1)
Name
Elizabeth Ann White
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2024
Certification date
Sep 8, 2024
Last updated
Sep 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

Po Box 392
Traverse City, MI 49685-0392

Phone 231-268-0007 · Fax 231-525-3170

Mailing address

1249 M 32
Johannesburg, MI 49751-9590

Phone 503-812-3202

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