Individual
MALLORY STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-29095
MI
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
01/26/2016
Last updated
05/09/2019
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