Individual
BAYLEE RENEE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA., BCBA, LBA
Contact information
Practice address
6894 W MAPLE RD FL 1, WEST BLOOMFIELD, MI 48322-3032
(833) 455-8622
Mailing address
201 LEITH ST, BRIGHTON, MI 48116-1612
(248) 982-9416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002260
MI
Other
Enumeration date
06/08/2019
Last updated
01/22/2024
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