Most Relevant Information
Provider Data
| NPI Number: | 1003323452 |
| Provider Name: | CARVALLES SNORTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2018 |
| Last Updated: | 01/08/2018 |
Provider Practice Location
15930 19 MILE RD STE 150
CLINTON TOWNSHIP
MI
480381155
Practice Location Phone/Fax
| Phone: | 5864640175 |
| Fax: |
Provider Mailing Location
15930 19 MILE RD STE 150
CLINTON TOWNSHIP
MI
480381155
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |