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Kasondra Sharp

Behavior Technician in Plymouth, MI. Individual provider (NPI-1).

NPI number1437742467
StatusActive
Last updated in NPPESFeb 20, 2021

Details

NPI
1437742467
Entity type
Individual (NPI-1)
Name
Kasondra Sharp
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2021
Certification date
Feb 20, 2021
Last updated
Feb 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

44670 Ann Arbor Rd W
Plymouth, MI 48170-3962

Phone 313-278-4601

Mailing address

44670 Ann Arbor Rd W
Plymouth, MI 48170-3962

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