Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 156F00000X | Technician/Technologist |
NPI | 1063909091 |
---|---|
Provider Name | Garrison Riley Hocker |
First Address | Eaton Rapids, MI 48827-8368 |
Second Address | Dexter, MI 48130-9659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2018 |
Last Update Date | 17/02/2021 |