Individual
KRISTINE MICHELLE ODDO SHOAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
44738 MORLEY DR, CLINTON TOWNSHIP, MI 48036-1357
(526) 421-4062
(586) 421-4072
Mailing address
44738 MORLEY DR, CLINTON TOWNSHIP, MI 48036-1357
(526) 421-4062
(586) 421-4072
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10207
IN
Other
Enumeration date
12/20/2012
Last updated
09/05/2014
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