Individual
DANIELLE M UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2890 CARPENTER RD STE 1100, ANN ARBOR, MI 48108-1190
(734) 808-0082
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001871
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/06/2019
Last updated
12/28/2023
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