Individual
KRISTEN BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6339 ATLANTIC AVE, KALAMAZOO, MI 49009-9572
(269) 353-9533
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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