Individual
KERI SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP, BCBA, LBA
Contact information
Practice address
595 FOREST AVE STE 7&11A, PLYMOUTH, MI 48170-1775
(734) 446-5466
Mailing address
595 FOREST AVE STE 7&11A, PLYMOUTH, MI 48170-1775
(734) 446-5466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
6361007746
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/10/2018
Last updated
03/23/2023
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