Olivia Korhonen

Individual provider Active NPI Behavior Technician · Grand Blanc, MI

NPI 1568094878 · NPPES record last updated Feb 5, 2020

Key facts

NPI
1568094878
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8285 S Saginaw St
Grand Blanc, MI 48439-2468
Phone
(810) 321-3001
NPI assigned
Feb 5, 2020
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

8285 S Saginaw St
Grand Blanc, MI 48439-2468

Mailing address

8285 S Saginaw St
Grand Blanc, MI 48439-2468
Phone (810) 321-3001

Other providers in Grand Blanc, MI

All providers in Grand Blanc, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.