Individual
REBECCA LYNN YOUNGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 553-8151
Mailing address
2009 APPLE ST, PORTAGE, MI 49002-5739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001888
MI
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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