Individual
DAKOTA MCCAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1545 68TH ST SE STE 201, KENTWOOD, MI 49508-7896
(231) 668-4909
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MI
103K00000X
Behavior Analyst
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/07/2020
Last updated
10/07/2024
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