Shadee Bennett

NPI #1104376201 in Jackson, Michigan

Provider Information

NPI Number: 1104376201
Entity Type: Individual
Name: Shadee Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 12, 2016
Last Updated: Sep 9, 2019

Practice Location

Address: 1220 W PARNALL RD
City: Jackson
State: Michigan
ZIP Code: 49201
Phone: (517) 513-3297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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