Individual
DANA BOUGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8285 S SAGINAW ST STE 7, GRAND BLANC, MI 48439-2436
(810) 321-3001
Mailing address
400 RENAISSANCE CTR, DETROIT, MI 48243-1502
(810) 701-4259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001822APP22
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/20/2019
Last updated
07/19/2022
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