Individual
TIMOTHY CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
4127 CANTON ST, DETROIT, MI 48207-1918
(248) 812-6809
Mailing address
4127 CANTON ST, DETROIT, MI 48207-1918
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133003665
VA
103K00000X
Behavior Analyst
Primary
7401002470
MI
Other
Enumeration date
02/26/2017
Last updated
06/11/2024
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