Individual
CALLIE WOODSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
6223 N CANTON CENTER RD STE 210, CANTON, MI 48187-2696
(734) 203-7675
Mailing address
6223 N CANTON CENTER RD STE 210, CANTON, MI 48187-2696
(734) 203-7675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002843
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/23/2019
Last updated
07/02/2025
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