Individual
CHRISTINA MARIE CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA, LBA
Contact information
Practice address
51910 WILLIS ST, PAW PAW, MI 49079-8073
(615) 796-8559
Mailing address
51910 WILLIS ST, PAW PAW, MI 49079-8073
(615) 796-8559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001898
MI
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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