Individual
MS. BASHA MICHELLE LIBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
201 KING OF PRUSSIA RD STE 650, RADNOR, PA 19087-5156
(215) 853-6682
(616) 591-3393
Mailing address
4893 EAST BELTLINE AVE NE, SUITE 310, GRAND RAPIDS, MI 49525
(616) 279-6414
(616) 591-3393
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
06/19/2020
Last updated
11/21/2022
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