Most Relevant Information
Provider Data
| NPI Number: | 1003674243 |
| Provider Name: | SAITHIP YONGSATIRACHOT-TANNER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2024 |
| Last Updated: | 03/12/2024 |
Provider Practice Location
7230 LOMA LINDA CT NE
ROCKFORD
MI
493419391
Practice Location Phone/Fax
| Phone: | 6162369091 |
| Fax: |
Provider Mailing Location
7230 LOMA LINDA CT NE
ROCKFORD
MI
493419391
Provider Mailing Phone/Fax
| Phone: | 6162369091 |
| Fax: |