Individual
MISS KAYLA MIDORI DULDULAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26718
MI
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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