Most Relevant Information
Provider Data
| NPI Number: | 1003455932 |
| Provider Name: | JEFFREY AHMAD HINTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/23/2019 |
| Last Updated: | 12/23/2019 |
Provider Practice Location
5281 CLYDE PARK AVE SW STE 2
WYOMING
MI
495099506
Practice Location Phone/Fax
| Phone: | 6169709153 |
| Fax: |
Provider Mailing Location
5281 CLYDE PARK AVE SW STE 2
WYOMING
MI
495099506
Provider Mailing Phone/Fax
| Phone: | 6169709153 |
| Fax: |