Carly Anderson

NPI #1932760048 in Otsego, Michigan

Provider Information

NPI Number: 1932760048
Entity Type: Individual
Name: Carly Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 28, 2019
Last Updated: Jun 28, 2019

Practice Location

Address: 1798 FAIRWAY LN
City: Otsego
State: Michigan
ZIP Code: 49078-9692
Phone: (269) 512-5167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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