Brandi Lee Slack

NPI #1932984119 in Alma, Michigan

Provider Information

NPI Number: 1932984119
Entity Type: Individual
Name: Brandi Lee Slack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 28, 2023
Last Updated: Aug 28, 2023

Practice Location

Address: 724 E SUPERIOR ST
City: Alma
State: Michigan
ZIP Code: 48801-1900
Phone: (989) 796-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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