Individual
CAROLINE MAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
(269) 303-5931
Mailing address
478 WARREN DR APT 513, SAN FRANCISCO, CA 94131-1060
(248) 880-6182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/12/2016
Last updated
06/09/2023
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