Organization
KENDALL BEHAVIORAL SERVICES LLC
Active
Other names
Alicia Kendall
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MARIE KENDALL (OWNER)
(734) 474-2958
Entity
Organization
Contact information
Practice address
5900 N LILLEY RD STE 104, CANTON, MI 48187-3695
(734) 474-2958
Mailing address
27601 CHESTER ST, GARDEN CITY, MI 48135-2585
(734) 474-2958
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1041827
MI
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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