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Micalyn Keziah Wilcox

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

NPI number1962007997
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1962007997
Entity type
Individual (NPI-1)
Name
Micalyn Keziah Wilcox
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2020
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MIYes

Practice location

100 E Main St Ste A
Stanton, MI 48888-8601

Phone 989-372-9550

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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