Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | ||
N | 156F00000X | Technician/Technologist |
NPI | 1184142457 |
---|---|
Provider Name | Paul Friedlander |
First Address | Shelby Twp, MI 48315-5024 |
Second Address | Shelby Twp, MI 48315-5024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2017 |
Last Update Date | 08/04/2021 |