Ethereal Divine a la Crimer
Ethereal Divine a la Crimer is a Behavior Technician in Farmington Hills, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone: (248) 436-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1548084411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | November 8, 2024 |
| Last updated in NPPES | November 8, 2024 |
| Certification date | November 8, 2024 |
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