Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | 0-15-6771 | MI |
NPI | 1053969949 |
---|---|
Provider Name | Hannah Parrish |
First Address | Charlevoix, MI 49720-1999 |
Second Address | Kalkaska, MI 49646-2503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2019 |
Last Update Date | 03/09/2019 |