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Individual

CAROL ELAINE AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 436-6561
Mailing address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 436-6561

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-217461
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-22-217461
BACB
GA
Enumeration date
05/26/2022
Last updated
05/13/2026
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