Individual
DANIELLE ACTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8268 E 124TH ST, SAND LAKE, MI 49343-9613
(616) 302-2567
Mailing address
8268 E 124TH ST, SAND LAKE, MI 49343-9613
(616) 302-2567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
12/23/2019
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