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Individual

MISS SARAH BIVIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6301016690
MI
247200000X
Other Technician

Other

Enumeration date
07/07/2015
Last updated
09/29/2016
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