Individual
ANDREA JAI CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2353 BADGER STREET, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Mailing address
2353 BADGER STREET, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002856
MI
Other
Enumeration date
09/26/2024
Last updated
08/14/2025
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