Individual
KATIE MAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 WHITE ST, PORT HURON, MI 48060-5735
(810) 712-7017
Mailing address
9001 MILLER RD STE 5, SWARTZ CREEK, MI 48473-1115
(989) 401-2244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/05/2019
Last updated
03/07/2019
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