Individual
SARA JENAE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 SOUTH ST, ORTONVILLE, MI 48462-8530
(248) 240-5698
Mailing address
370 E GLASS RD, ORTONVILLE, MI 48462-8877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
106S00000X
Behavior Technician
—
MI
Other
Enumeration date
02/02/2017
Last updated
09/19/2023
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