John Jason Douthit SR.

NPI #1538665112 in Petoskey, Michigan

Provider Information

NPI Number: 1538665112
Entity Type: Individual
Name: John Jason Douthit SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 3, 2018
Last Updated: Apr 3, 2018

Practice Location

Address: 107 MICHIGAN ST
City: Petoskey
State: Michigan
ZIP Code: 49770-2605
Phone: (816) 695-0918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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