Individual
MYKAHLA FRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019232
MI
106S00000X
Behavior Technician
RBT-19-97014
OH
Other
Enumeration date
11/11/2020
Last updated
05/20/2021
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