NPI 1003300120

Clarissa Canal

Practitioner Behavior Technician Novi, MI

Practice location

Address: 41521 W 11 Mile Rd, Novi, MI 48375-1803
Phone: (248) 299-0030

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003300120
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2018
Record last updated: 21 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.