Individual
REBEKAH LYNN KAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6894 W MAPLE RD FL 1, WEST BLOOMFIELD, MI 48322-3032
(248) 846-8700
Mailing address
16871 ANDERSON DR, SOUTHGATE, MI 48195-3917
(734) 285-9932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/13/2017
Last updated
01/24/2022
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