Individual
STEVEN WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2549 JOLLY RD STE 380, OKEMOS, MI 48864-3680
(517) 899-9423
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(786) 751-4534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26719
MI
103K00000X
Behavior Analyst
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336475532
GROUP NPI
—
Enumeration date
02/23/2016
Last updated
07/23/2023
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