Individual
CHRISTIANNA CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAE-BCBA
Contact information
Practice address
106 COLES DR, MARQUETTE, MI 49855-4010
(906) 629-1003
Mailing address
106 COLES DR, MARQUETTE, MI 49855-4010
(906) 629-1003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001854
MI
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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