Individual
MIKAELA MICHELE SERGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
1159 S CARNEY DR, SAINT CLAIR, MI 48079-5569
(810) 937-7048
Mailing address
1615 WHITE ST, PORT HURON, MI 48060-5639
(810) 937-7048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002674
MI
Other
Enumeration date
05/03/2021
Last updated
01/30/2025
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