| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ARIANNA JUSTINE SQUIRES | 1265147235 | 2023-01-13 |
Arianna Justine Squires is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265147235. Registration indicates Arianna Justine Squires is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Arianna Justine Squires |
| Practice Office Address | 1014 HOLLAND AVE PORT HURON, MI US |
| Practice Office Telephone | 8109375012 |
| Mailing Address | 1014 HOLLAND AVE PORT HURON, MI 480601513 US |
| Business Telephone | 8109375012 |
| work email [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
| 21018924 | MEDICAID | MI |