Individual
ALEXANDER BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1349 S HURON ST, YPSILANTI, MI 48197-7021
(734) 929-2620
Mailing address
1349 S HURON ST, YPSILANTI, MI 48197-7021
(734) 929-2620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
03/01/2022
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