Most Relevant Information
Provider Data
NPI Number: | 1003366196 |
Provider Name: | BRIANNA HUFFMAN |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 10/12/2016 |
Last Updated: | 10/12/2016 |
Provider Practice Location
1617 E MILHAM AVE
PORTAGE
MI
490023049
Practice Location Phone/Fax
Phone: | 2693035931 |
Fax: |
Provider Mailing Location
1617 E MILHAM AVE
PORTAGE
MI
490023049
Provider Mailing Phone/Fax
Phone: | 2693035931 |
Fax: |