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Individual

KIMBERLY PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844
Mailing address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-21323
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-15-21323
BACB NUMBER
MI
Enumeration date
01/30/2020
Last updated
01/30/2020
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