MR. Shane Dennis Bliss
NPI #1174094791 in Prudenville, Michigan
Provider Information
- NPI Number
- 1174094791
- Entity Type
- Individual
- Name
- MR. Shane Dennis Bliss
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 7, 2018
- Last Updated
- Dec 7, 2018
Practice Location
- Address
- 1070 W HOUGHTON LAKE DR
- City
- Prudenville
- State
- Michigan
- ZIP Code
- 48651-9673
- Phone
- (989) 422-0279
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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