Hillary Sanow

Individual provider Active NPI Behavior Technician · Bridgeport, MI

NPI 1326850249 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1326850249
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5505 W Rolling Hills Dr
Bridgeport, MI 48722-9674
Phone
(989) 860-4196
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5505 W Rolling Hills Dr
Bridgeport, MI 48722-9674

Mailing address

5505 W Rolling Hills Dr
Bridgeport, MI 48722-9674
Phone (989) 860-4196

Other providers in Bridgeport, MI

All providers in Bridgeport, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.