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Individual

JULIA LUNDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
41820 6 MILE RD STE 101, NORTHVILLE, MI 48168-2772
(248) 440-1513
Mailing address
41820 6 MILE RD STE 101, NORTHVILLE, MI 48168-2772
(734) 239-8931

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002437
MI
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497760086
MI
Enumeration date
05/25/2021
Last updated
04/18/2025
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