Individual
STEPHANIE LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP, BCBA
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 912-1345
Mailing address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
(989) 358-7835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
6301013620
MI
Other
Enumeration date
02/03/2014
Last updated
11/15/2018
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