Individual
LAURA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP, BCBA
Contact information
Practice address
6548 TOWN CENTER DR, CLARKSTON, MI 48346
(800) 693-1916
(248) 605-3525
Mailing address
3906 BALDWIN RD UNIT 210550, AUBURN HILLS, MI 48321-7772
(800) 693-1916
(248) 605-3525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
6301013921
MI
103T00000X
Psychologist
Primary
6301013921
MI
Other
Enumeration date
12/18/2012
Last updated
10/30/2018
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