Individual
REBECCA LEE KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
4200 S WESTNEDGE AVE, KALAMAZOO, MI 49008-3208
(269) 459-7821
Mailing address
1318 OAK ST, KALAMAZOO, MI 49008-1345
(608) 213-0158
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23478
MI
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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