Trisha Koontz

NPI #1528677598 in Standish, Michigan

Provider Information

NPI Number: 1528677598
Entity Type: Individual
Name: Trisha Koontz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 27, 2020
Last Updated: Jul 27, 2020

Practice Location

Address: 810 W CEDAR ST
City: Standish
State: Michigan
ZIP Code: 48658-9550
Phone: (989) 718-3146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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