Individual
BRIANNA SLATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 W CENTRE AVE, PORTAGE, MI 49024-5306
(269) 321-9556
Mailing address
526 W CENTRE AVE, PORTAGE, MI 49024-5306
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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