Organization
FUNCTIONAL BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRISSA RONDEAU BCBA, LLMSW (BCBA)
(069) 273-1121
Entity
Organization
Contact information
Practice address
1229 W WASHINGTON ST STE 5, MARQUETTE, MI 49855-3186
(906) 273-1121
(906) 225-6706
Mailing address
N5625 NUMMELA RD, SKANDIA, MI 49885-9755
(906) 439-5290
(906) 439-5279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15411
MI
Other
Enumeration date
02/24/2016
Last updated
01/27/2020
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