Clara Fortson
Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1962242560
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1962242560
- Entity type
- Individual (NPI-1)
- Name
- Clara Fortson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2024
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-912-6151
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-912-6151
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