Individual
LAUREN FOKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
(248) 712-4381
Mailing address
47183 SUNNYBROOK LN, NOVI, MI 48374-3643
(248) 767-1376
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-21-156218
MI
Other
Enumeration date
05/05/2021
Last updated
06/21/2023
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