Individual
LAURA JEAN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SAINT ANDREWS RD STE 408, SAGINAW, MI 48638-5977
(989) 401-9020
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/23/2018
Last updated
04/16/2021
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