Individual
CARLA ANN KEVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, DTLLP, NCSP
Contact information
Practice address
316 MORRIS AVE, MUSKEGON, MI 49440-1148
(231) 215-3877
Mailing address
2481 HARDING AVE, MUSKEGON, MI 49441-1247
(231) 215-3877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-41448
MI
103T00000X
Psychologist
6352000605
MI
103T00000X
Psychologist
Primary
6362008893
MI
103TS0200X
School Psychologist
—
MI
106S00000X
Behavior Technician
RBT-17-43316
MI
Other
Enumeration date
03/07/2018
Last updated
03/20/2023
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