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Individual

KIERNAN MAE DOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, BCABA

Contact information

Practice address
315 E WARWICK DR STE E, ALMA, MI 48801-1083
(989) 462-0970
Mailing address
877 W CURTIS RD, SANFORD, MI 48657-9307
(989) 750-5464

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
7402000189
MI
106S00000X
Behavior Technician

Other

Enumeration date
06/17/2020
Last updated
09/18/2024
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