Individual
MRS. J'TRAEA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
6102 ABBOT RD, EAST LANSING, MI 48823-1410
(517) 940-4029
Mailing address
6102 ABBOT RD, EAST LANSING, MI 48823-1410
(517) 940-4029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
09/02/2021
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