Patricia Mahon
Behavior Technician in Houghton Lake, MI. Individual provider (NPI-1).
NPI number1669002184
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1669002184
- Entity type
- Individual (NPI-1)
- Name
- Patricia Mahon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2020
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2715 S Townline RdHoughton Lake, MI 48629-9294
Phone 989-366-8550
Mailing address
2715 S Townline RdHoughton Lake, MI 48629-9294
Phone 989-366-8550
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