Most Relevant Information
Provider Data
| NPI Number: | 1003652157 |
| Provider Name: | MYA KIESE BELVIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2024 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
5451 HAMPTON PL
SAGINAW
MI
486049284
Practice Location Phone/Fax
| Phone: | 8104875571 |
| Fax: |
Provider Mailing Location
5451 HAMPTON PL
SAGINAW
MI
486049284
Provider Mailing Phone/Fax
| Phone: | 8104875571 |
| Fax: |