Individual
KATIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
526 W CENTRE AVE, PORTAGE, MI 49024-5306
(269) 321-9556
Mailing address
526 W CENTRE AVE, PORTAGE, MI 49024-5306
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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