Individual
MRS. DIANE COURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
(734) 454-1744
Mailing address
46200 PORT ST, PLYMOUTH, MI 48170-6048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19790
MI
Other
Enumeration date
10/19/2015
Last updated
07/20/2016
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