Individual
MS. AUTUMN RAE CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E MAIN ST STE A, STANTON, MI 48888-8601
(989) 372-9550
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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