Individual
JUNALETH CHIONG CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6510 TOWN CENTER DR STE E, CLARKSTON, MI 48346-4822
(248) 965-0417
Mailing address
6510 TOWN CENTER DR STE E, CLARKSTON, MI 48346-4822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48920
MI
103K00000X
Behavior Analyst
—
MI
106S00000X
Behavior Technician
—
IL
Other
Enumeration date
12/25/2019
Last updated
08/07/2024
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