Individual
MISS KORRI ST. CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
403 E FARNUM AVE, ROYAL OAK, MI 48067-3781
(810) 223-6478
Mailing address
403 E FARNUM AVE, ROYAL OAK, MI 48067-3781
(810) 223-6478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
S324475454856
MI
Other
Enumeration date
01/14/2016
Last updated
04/25/2019
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