Trevor Lot-Moise Kacou

NPI #1538989207 in Jackson, Michigan

Provider Information

NPI Number: 1538989207
Entity Type: Individual
Name: Trevor Lot-Moise Kacou
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 16, 2024
Last Updated: Oct 16, 2024

Practice Location

Address: 1001 LAURENCE AVE STE JACKSON
City: Jackson
State: Michigan
ZIP Code: 49202-2979
Phone: (517) 750-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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