Individual
LINDSEY OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 E MAIN ST STE B, CENTREVILLE, MI 49032-9803
(269) 241-2700
Mailing address
666 E MAIN ST STE B, CENTREVILLE, MI 49032-9803
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
07/12/2023
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