Individual
REBECCA CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
1363 DOUGLAS DR, TRAVERSE CITY, MI 49696-8980
(231) 668-4909
Mailing address
1363 DOUGLAS DR, TRAVERSE CITY, MI 49696-8980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60463952
WA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
02/20/2019
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