Mr. Shane Dennis Bliss
Mr. Shane Dennis Bliss is a Behavior Technician in Prudenville, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1070 W Houghton Lake DrPrudenville, MI 48651-9673
Phone: (989) 422-0279
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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 | 1174094791 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 7, 2018 |
| Last updated in NPPES | December 7, 2018 |
| Mailing address | 800 W Mier Rd Lot 24, Sanford, MI 48657-9411 |
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