(800) 868-1923

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: