Most Relevant Information
Provider Data
| NPI Number: | 1003420902 |
| Provider Name: | DEDREONNA NISHA WOODARD RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-133337 |
Most Important Dates
| Enumeration Date: | 09/08/2020 |
| Last Updated: | 07/13/2021 |
Provider Practice Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345312
Practice Location Phone/Fax
| Phone: | 2484364400 |
| Fax: | 3175208200 |
Provider Mailing Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345312
Provider Mailing Phone/Fax
| Phone: | 2484364400 |
| Fax: | 3175208200 |