Carla Ann Kevern, BCBA, DTLLP, NCSP
Psychologist in Muskegon, MI. Individual provider (NPI-1).
NPI number1396247243
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1396247243
- Entity type
- Individual (NPI-1)
- Name
- Carla Ann Kevern
- Credential
- BCBA, DTLLP, NCSP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2018
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6362008893 | MI | Yes |
| 103T00000X | Psychologist | 6352000605 | MI | |
| 103TS0200X | Psychologist, School | – | MI | |
| 106S00000X | Behavior Technician | RBT-17-43316 | MI | |
| 103K00000X | Behavior Analyst | 1-20-41448 | MI |
Practice location
316 Morris AveMuskegon, MI 49440-1148
Phone 231-215-3877
Mailing address
2481 Harding AveMuskegon, MI 49441-1247
Phone 231-215-3877
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