Individual
KYLE JAY MOKMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
350 PINECREST ST, ALPENA, MI 49707-1328
(989) 278-8878
Mailing address
2805 S INDUSTRIAL HWY STE 100, ANN ARBOR, MI 48104-6791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53120
CO
103K00000X
Behavior Analyst
Primary
7401001684
MI
Other
Enumeration date
12/30/2021
Last updated
06/09/2026
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