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Individual

JAMES MACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
7375 WOODWARD AVE STE 2800, DETROIT, MI 48202-3157
(137) 108-7443
(855) 568-2494
Mailing address
1027 BALDWIN ST, DETROIT, MI 48214-2430
(605) 371-6387

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000206
MI

Other

Enumeration date
04/17/2013
Last updated
09/08/2022
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