Individual
MRS. MICHELLE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
201 LOVE POINT RD, STEVENSVILLE, MD 21666-2131
(410) 714-4046
Mailing address
315 MAIN ST, STEVENSVILLE, MD 21666-2082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-22-13583
MD
106E00000X
Assistant Behavior Analyst
Primary
0-22-13583
MD
106S00000X
Behavior Technician
RBT-17-40792
MD
Other
Enumeration date
05/24/2018
Last updated
04/14/2023
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