Individual
KATLYN M MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
30330 HICKEY RD, CHESTERFIELD, MI 48051-3911
(586) 421-4062
Mailing address
27390 LEROY ST, ROSEVILLE, MI 48066
(586) 945-5628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002524
MI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/07/2022
Last updated
08/08/2024
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