Individual
TONI WEDDERBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23663 PARK ST, DEARBORN, MI 48124-2547
(248) 299-0030
Mailing address
11854 KENNEBEC ST, DETROIT, MI 48205-5202
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001166
MI
Other
Enumeration date
09/21/2016
Last updated
04/07/2026
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