Individual
MARYBETH TIMOTIWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3940 ACORN CIR, HOLT, MI 48842
(440) 318-5942
Mailing address
3940 ACORN CIR, HOLT, MI 48842-8727
(440) 318-5942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/08/2016
Last updated
12/03/2019
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