Most Relevant Information
Provider Data
| NPI Number: | 1003335217 |
| Provider Name: | ELIZABETH WIEGAND |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2017 |
| Last Updated: | 05/18/2021 |
Provider Practice Location
32100 TELEGRAPH RD STE 185
BINGHAM FARMS
MI
480252453
Practice Location Phone/Fax
| Phone: | 2487124266 |
| Fax: | 2487124381 |
Provider Mailing Location
32100 TELEGRAPH RD STE 185
BINGHAM FARMS
MI
480252453
Provider Mailing Phone/Fax
| Phone: | 2487124266 |
| Fax: | 2487124381 |