Individual
KEVIN KNOERZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8032 LAKESHORE RD, LEXINGTON, MI 48450-9719
(810) 201-4987
Mailing address
8032 LAKESHORE RD, LEXINGTON, MI 48450-9719
(810) 201-4987
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
15BC00141300
NJ
103K00000X
Behavior Analyst
Primary
7401002330
MI
Other
Enumeration date
06/19/2019
Last updated
05/27/2025
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