Andrew Shannon Vickers

NPI #1306571641 in East Lansing, Michigan

Provider Information

NPI Number: 1306571641
Entity Type: Individual
Name: Andrew Shannon Vickers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 20, 2022
Last Updated: Jul 20, 2022

Practice Location

Address: 2875 EYDE PKWY STE 100
City: East Lansing
State: Michigan
ZIP Code: 48823-5431
Phone: (855) 407-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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