Individual
KOURTNEY DIONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28139 WOODWARD AVE, BERKLEY, MI 48072-0910
(248) 395-3777
Mailing address
620 E WINDEMERE AVE, ROYAL OAK, MI 48073-5603
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002523
MI
Other
Enumeration date
07/05/2018
Last updated
05/27/2025
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