Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-16-7445 | MI |
NPI | 1093145583 |
---|---|
Provider Name | Miss Dayna Machala |
First Address | Grand Blanc, MI 48439-1575 |
Second Address | Howell, MI 48843-2168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2013 |
Last Update Date | 14/08/2019 |