Individual
ALEXANDER ASA WILLMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31557 SCHOOLCRAFT ROAD SUITE 200, 31557 SCHOOLCRAFT ROAD SUITE 200, LIVONIA, MI 48150
(734) 474-2958
Mailing address
31557 SCHOOLCRAFT ROAD SUITE 200, 31557 SCHOOLCRAFT ROAD SUITE 200, LIVONIA, MI 48150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002709
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/24/2020
Last updated
03/17/2025
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