Individual
KRISTINE MEDLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4287 FIVE OAKS DR, LANSING, MI 48911-4214
(517) 732-2114
Mailing address
2530 MASON LN, HOLT, MI 48842-2137
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12041001
MI
Other
Enumeration date
07/27/2020
Last updated
11/03/2025
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