Landen Lake

NPI #1861209629 in Alma, Michigan

Provider Information

NPI Number: 1861209629
Entity Type: Individual
Name: Landen Lake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 724 E SUPERIOR ST
City: Alma
State: Michigan
ZIP Code: 48801-1900
Phone: (989) 292-6194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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