Individual
STEFANIE BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
9616 PORTAGE RD, PORTAGE, MI 49002-7257
(269) 250-8292
Mailing address
9616 PORTAGE RD, PORTAGE, MI 49002-7257
(269) 250-8292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2013044238
MO
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
12/17/2013
Last updated
03/06/2017
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