Michael Metcalf
Behavior Technician in Mason, MI. Individual provider (NPI-1).
NPI number1669919205
StatusActive
Last updated in NPPESJan 20, 2017
Details
- NPI
- 1669919205
- Entity type
- Individual (NPI-1)
- Name
- Michael Metcalf
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2017
- Last updated
- Jan 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MI | Yes |
Practice location
3470 Josephine LaneMason, MI 48854
Phone 517-676-0592
Mailing address
3470 Josephine LaneMason, MI 48854
Phone 517-676-0592
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