Most Relevant Information
Provider Data
| NPI Number: | 1003454208 |
| Provider Name: | BREEYN TINKLE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/18/2019 |
| Last Updated: | 12/18/2019 |
Provider Practice Location
4000 W MICHIGAN AVE
LANSING
MI
489172856
Practice Location Phone/Fax
| Phone: | 5176242395 |
| Fax: |
Provider Mailing Location
PO BOX 663
LAKELAND
MI
481430663
Provider Mailing Phone/Fax
| Phone: | 8105592129 |
| Fax: |