Individual
AMBER YOUNG KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
25813 FOUNTAIN TRL, MATTAWAN, MI 49071-9652
(863) 205-1242
Mailing address
25813 FOUNTAIN TRL, MATTAWAN, MI 49071-9652
(863) 205-1242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/14/2018
Last updated
02/27/2020
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