Individual
BRITTANY NICOLE BOINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
4195 FILBERT ST, WAYNE, MI 48184-1820
(772) 584-2508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31246
MI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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