Individual
ASHLEY DIECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6510 TOWN CENTER DR, CLARKSTON, MI 48346-4822
(231) 668-4909
Mailing address
5204 DAVISON RD, LAPEER, MI 48446-3533
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/18/2019
Last updated
02/15/2023
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