Individual
STACEY LYNN WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8544 W GRAND RIVER AVE, BRIGHTON, MI 48116-2326
(248) 455-1335
Mailing address
5262 CRESTOVER, PINCKNEY, MI 48169-8416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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