Most Relevant Information
Provider Data
| NPI Number: | 1003653015 |
| Provider Name: | ADDISON HULLINGER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/09/2024 |
| Last Updated: | 07/09/2024 |
Provider Practice Location
23663 PARK ST
DEARBORN
MI
481242547
Practice Location Phone/Fax
| Phone: | 3136895188 |
| Fax: |
Provider Mailing Location
23663 PARK ST
DEARBORN
MI
481242547
Provider Mailing Phone/Fax
| Phone: | 3136895188 |
| Fax: |