Individual
KATHERINE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
6555 N WAYNE RD, WESTLAND, MI 48185-2713
(586) 228-9902
Mailing address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001113
MI
Other
Enumeration date
12/07/2016
Last updated
02/15/2022
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