Iuliia Yulievna Asalkhanova

Individual provider Active NPI Behavior Technician · Wyoming, MI

NPI 1356102461 · NPPES record last updated Jan 17, 2024

Key facts

NPI
1356102461
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1150 32ND St SW
Wyoming, MI 49509-2875
Phone
(989) 702-2082
NPI assigned
Jan 17, 2024
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

1150 32ND St SW
Wyoming, MI 49509-2875

Mailing address

1150 32ND St SW
Wyoming, MI 49509-2875
Phone (989) 702-2082

Other providers in Wyoming, MI

All providers in Wyoming, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.