Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | MI |
NPI | 1003366246 |
---|---|
Provider Name | Miss Dakota Dilday |
First Address | Sterling Heights, MI 48312 |
Second Address | Sterling Heights, MI 48312-6302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2016 |
Last Update Date | 12/10/2016 |