Individual provider · NPI-1

Stephanie George

Behavior Analyst · Saint Clair Shores, MI

NPI number1891353629
StatusActive
Last updated in NPPESMay 4, 2023

Details

NPI
1891353629
Entity type
Individual (NPI-1)
Name
Stephanie George
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2019
Certification date
May 4, 2023
Last updated
May 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst7401001690MIYes
156F00000X Technician/Technologist––

Practice location

26210 Harper Ave
Saint Clair Shores, MI 48081-2203

Phone 888-485-8636

Mailing address

26210 Harper Ave
Saint Clair Shores, MI 48081-2203

Phone 888-485-8636

Other practice locations

3250 University Dr Ste 110
Auburn Hills, MI 48326-2391

Phone 888-485-8636

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