Individual provider · NPI-1

Dana Bougie, BCBA

Behavior Analyst · Grand Blanc, MI

NPI number1417514076
StatusActive
Last updated in NPPESJul 19, 2022

Details

NPI
1417514076
Entity type
Individual (NPI-1)
Name
Dana Bougie
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2019
Certification date
Jul 19, 2022
Last updated
Jul 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst7401001822APP22MIYes
106S00000X Behavior Technician––

Practice location

8285 S Saginaw St Ste 7
Grand Blanc, MI 48439-2436

Phone 810-321-3001

Mailing address

400 Renaissance Ctr
Detroit, MI 48243-1502

Phone 810-701-4259

Other practice locations

400 Renaissance Ctr
Detroit, MI 48243-1502

Phone 810-701-4259

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