Organization
MASQUIGON INTEGRATIVE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA ANN KEVERN BCBA, DTLLP, NCSP (PRACTITIONER)
(231) 215-3877
Entity
Organization
Contact information
Practice address
221 W WEBSTER AVE, MUSKEGON, MI 49440-1294
(231) 215-3877
Mailing address
2481 HARDING AVE, MUSKEGON, MI 49441-1247
(231) 215-3877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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