Audrey Jo Cornell
Behavior Technician in Traverse City, MI. Individual provider (NPI-1).
NPI number1669965901
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1669965901
- Entity type
- Individual (NPI-1)
- Name
- Audrey Jo Cornell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3163 Douglas DriveSuite 110
Traverse City, MI 49696
Phone 231-668-4909
Mailing address
3163 Douglas DriveSuite 110
Traverse City, MI 49696
Phone 231-668-4909
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All 519 Behavior Technician providers in Traverse City · All 4,445 providers in Traverse City
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