Isabella Puckett

NPI #1124806500 in Bear Lake, Michigan

Provider Information

NPI Number: 1124806500
Entity Type: Individual
Name: Isabella Puckett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 11660 CHIPPEWA HWY
City: Bear Lake
State: Michigan
ZIP Code: 49614-9419
Phone: (231) 655-3146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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