Individual
MS. DANA MARIE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6102 ABBOT RD, EAST LANSING, MI 48823-1410
(517) 940-4612
Mailing address
4597 DONERAIL PL APT 3C, OKEMOS, MI 48864-2357
(248) 303-4179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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