Healthcare Provider Details

I. General information

NPI: 1073015798
Provider Name (Legal Business Name): ANGEL HEFFNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2018
Last Update Date: 03/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 E MILHAM AVE STE B
PORTAGE MI
49002-3049
US

IV. Provider business mailing address

1617 E MILHAM AVE STE B
PORTAGE MI
49002-3049
US

V. Phone/Fax

Practice location:
  • Phone: 269-389-9102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: