Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 156F00000X | Technician/Technologist |
NPI | 1093481699 |
---|---|
Provider Name | Julie Ann Dawson |
First Address | Owosso, MI 48867-2008 |
Second Address | Owosso, MI 48867-2008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2021 |
Last Update Date | 23/08/2021 |