Most Relevant Information
Provider Data
| NPI Number: | 1003309071 |
| Provider Name: | CAROLYN PETERS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2018 |
| Last Updated: | 06/13/2018 |
Provider Practice Location
2520 UNIVERSITY PARK
MOUNT PLEASANT
MI
488584464
Practice Location Phone/Fax
| Phone: | 9897742529 |
| Fax: |
Provider Mailing Location
2520 UNIVERSITY PARK BLDG D
MOUNT PLEASANT
MI
488584464
Provider Mailing Phone/Fax
| Phone: | 9897742529 |
| Fax: |