Avery Thomas Dull
Behavior Technician in Mount Pleasant, MI. Individual provider (NPI-1).
NPI number1689286106
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1689286106
- Entity type
- Individual (NPI-1)
- Name
- Avery Thomas Dull
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1524 E Broadway StMount Pleasant, MI 48858-2933
Phone 989-854-8334
Mailing address
3321 W Pere Marquette RdColeman, MI 48618-9404
Phone 989-708-3482
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All 110 Behavior Technician providers in Mount Pleasant · All 748 providers in Mount Pleasant
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