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Individual
MICHAEL LAVERDIERE
Active
Individual
MICHAEL LAVERDIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42370
MN
106E00000X
Assistant Behavior Analyst
09-19-10548
MN
106S00000X
Behavior Technician
RBT-18-62994
MI
Other
Enumeration date
07/12/2019
Last updated
06/03/2020
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