Kayla Marie Datema

NPI #1609410992 in Stanton, Michigan

Provider Information

NPI Number
1609410992
Entity Type
Individual
Name
Kayla Marie Datema
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 30, 2019
Last Updated
Oct 30, 2019

Practice Location

Address
100 E MAIN ST STE A
ZIP Code
48888-8601
Phone
(989) 372-9550

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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