Amber Fagerman

NPI #1790236370 in Inkster, Michigan

Provider Information

NPI Number: 1790236370
Entity Type: Individual
Name: Amber Fagerman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 19, 2016
Last Updated: Oct 19, 2016

Practice Location

Address: 30000 HIVELEY ST
City: Inkster
State: Michigan
ZIP Code: 48141-1089
Phone: (734) 728-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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