Individual
MR. WILLIAM IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 LAURENCE AVE, JACKSON, MI 49202-2979
(517) 750-4777
Mailing address
2018 DALE RD, JACKSON, MI 49203-3816
(734) 904-4761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
247200000X
Other Technician
—
—
Other
Enumeration date
03/05/2019
Last updated
01/31/2024
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