Individual
JENNIFER FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11659 W ROUND LAKE RD, LAKE CITY, MI 49651-8621
(989) 506-4329
Mailing address
11659 W ROUND LAKE RD, LAKE CITY, MI 49651-8621
(989) 506-4329
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14063
MI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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