Moon Young Savana Bak

NPI #1467944579 in Holt, Michigan

Provider Information

NPI Number: 1467944579
Entity Type: Individual
Name: Moon Young Savana Bak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 4, 2018
Last Updated: Jun 4, 2018

Practice Location

Address: 4552 SPAHR ST
City: Holt
State: Michigan
ZIP Code: 48842-1122
Phone: (517) 699-7803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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