Individual
KENNETH BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, BCBA, LBA
Contact information
Practice address
617 ALLEN ST, CARO, MI 48723-1414
(989) 529-1228
Mailing address
617 ALLEN ST, CARO, MI 48723-1414
(989) 529-1228
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22141
MI
Other
Enumeration date
01/02/2013
Last updated
08/23/2024
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