Eden Sky Black

NPI #1538945423 in Mattawan, Michigan

Provider Information

NPI Number: 1538945423
Entity Type: Individual
Name: Eden Sky Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 6, 2023
Last Updated: Sep 6, 2023

Practice Location

Address: 23200 RED ARROW HWY
City: Mattawan
State: Michigan
ZIP Code: 49071-7774
Phone: (269) 355-6621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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