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Individual

CLAUDIA RIDDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
36500 FORD RD, UNIT 229, WESTLAND, MI 48185-3769
(866) 752-0899
(203) 604-0602
Mailing address
36500 FORD RD, UNIT 229, WESTLAND, MI 48185-3769
(866) 752-0899
(203) 604-0602

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11752
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-12-11752
BOARD CERTIFIED BEHAVIOR ANALYST-BCBA
IL
Enumeration date
02/13/2014
Last updated
02/13/2014
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