Individual
MRS. KYLIE DENSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
3887 OKEMOS RD STE A1, OKEMOS, MI 48864-3663
(989) 400-0547
Mailing address
2261 GRIMES RD, DANSVILLE, MI 48819-9641
(989) 400-0547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27487
MI
Other
Enumeration date
06/22/2015
Last updated
03/17/2018
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