Individual
MS. KRISTIN MARIE HUSTYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2723 S STATE ST, SUITE 150, ANN ARBOR, MI 48104-6188
(734) 646-6547
Mailing address
85 REVERE DR, NORTHBROOK, IL 60062-8001
(734) 646-6547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8985
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-11-8985
BEHAVIOR ANALYST CERTIFICATION BOARD
CA
Enumeration date
08/14/2007
Last updated
08/14/2014
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