Organization
MICHAELLEB ABA AND CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELLE BERRY LBA (BCBA)
(260) 348-2696
Entity
Organization
Contact information
Practice address
25147 FORTUNA ST, ROSEVILLE, MI 48066-3795
(260) 348-2696
Mailing address
3591 LAKEPOINTE ST, DETROIT, MI 48224-3317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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