Individual
MRS. ALICIA NICOLE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
32100 TELEGRAPH RD, SUITE 185, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Mailing address
32100 TELEGRAPH RD, SUITE 185, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
08/22/2016
Last updated
10/31/2024
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