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Dustin Maxam
NPI 1588282909 · on the registry since 2020
Practice
- Address
- 1360 Porter St Lowr Level1
Dearborn, MI 48124 - Phone
- (313) 689-5188
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan