Most Relevant Information
Provider Data
| NPI Number: | 1003597030 |
| Provider Name: | BRYNNE PASS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/31/2023 |
| Last Updated: | 07/31/2023 |
Provider Practice Location
2890 CARPENTER RD STE 1100
ANN ARBOR
MI
481081190
Practice Location Phone/Fax
| Phone: | 7348080082 |
| Fax: |
Provider Mailing Location
PO BOX 663
LAKELAND
MI
481430663
Provider Mailing Phone/Fax
| Phone: | 7342030181 |
| Fax: |