Autumn Gold

NPI #1669962783 in Swartz Creek, Michigan

Provider Information

NPI Number: 1669962783
Entity Type: Individual
Name: Autumn Gold
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 14, 2018
Last Updated: May 14, 2018

Practice Location

Address: 9001 MILLER RD STE 5
City: Swartz Creek
State: Michigan
ZIP Code: 48473-1115
Phone: (989) 401-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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