Individual
KRISTIN CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Mailing address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001606
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/30/2018
Last updated
10/21/2021
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