Most Relevant Information
Provider Data
| NPI Number: | 1003665548 |
| Provider Name: | ERMA JEAN PARNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2024 |
| Last Updated: | 05/16/2024 |
Provider Practice Location
1 HERITAGE DR
SOUTHGATE
MI
481953094
Practice Location Phone/Fax
| Phone: | 7347672250 |
| Fax: |
Provider Mailing Location
1 HERITAGE DR
SOUTHGATE
MI
481953094
Provider Mailing Phone/Fax
| Phone: | 7347672250 |
| Fax: |