Tyler Potter

NPI #1669803342 in Freeland, Michigan

Provider Information

NPI Number: 1669803342
Entity Type: Individual
Name: Tyler Potter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 6, 2013
Last Updated: Apr 17, 2017

Practice Location

Address: 3949 N RIVER RD
City: Freeland
State: Michigan
ZIP Code: 48623-8856
Phone: (989) 702-2082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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