Individual
MS. KIMBERLEY ROSE PERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L, BCBA, LBA
Contact information
Practice address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991
Mailing address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000601
MI
225X00000X
Occupational Therapist
5201005018
MI
Other
Enumeration date
08/31/2006
Last updated
11/21/2019
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