| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANTWANETTE CONAWAY | 1942827712 | 2020-06-28 |
Antwanette Conaway is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942827712. Registration indicates Antwanette Conaway 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 | Antwanette Conaway |
| Practice Office Address | 19853 OUTER DR STE 110 DEARBORN, MI US |
| Practice Office Telephone | 2486214792 |
| Mailing Address | 19853 OUTER DR STE 110 DEARBORN, MI 481242044 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |