Individual
MRS. MORGAN JEAN-PETERSON GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA - LBA
Contact information
Practice address
2353 BADGER STREET, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Mailing address
2353 BADGER ST, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003389
MI
106E00000X
Assistant Behavior Analyst
Primary
22159090657
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134756737
—
MI
01
—
15596388
CAQH
MI
Enumeration date
03/24/2020
Last updated
08/11/2026
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