MR. PATRICK DEWALT JR.

Behavior Technician

Active Individual
NPI: 1407410525

Practice Address

1001 LAURENCE AVE
Jackson, MI 49202

Phone: (517) 740-4777

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1407410525 is the National Provider Identifier for MR. PATRICK DEWALT JR., a Behavior Technician provider located in Jackson, MI. This NPI was enumerated on April 24, 2019.
MR. PATRICK DEWALT JR. practices at 1001 LAURENCE AVE, Jackson, MI 49202.

Quick Facts

NPI
1407410525
Type
Individual
Enumerated
Apr 24, 2019
Last Updated
Apr 10, 2024

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