Most Relevant Information
Provider Data
| NPI Number: | 1003568262 |
| Provider Name: | SACELIA MARIE TIRRELL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/19/2022 |
| Last Updated: | 01/19/2022 |
Provider Practice Location
1302 PORTAGE PATH
EAST LANSING
MI
488232034
Practice Location Phone/Fax
| Phone: | 2569458581 |
| Fax: |
Provider Mailing Location
1302 PORTAGE PATH
EAST LANSING
MI
488232034
Provider Mailing Phone/Fax
| Phone: | 6166342923 |
| Fax: |