Jacob Hendrick

NPI #1144084906 in Bear Lake, Michigan

Provider Information

NPI Number: 1144084906
Entity Type: Individual
Name: Jacob Hendrick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

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 Technician	106S00000X	Primary

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