Individual
KATRINA MAE DOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1234 W CEDAR AVE, GLADWIN, MI 48624-1818
(989) 245-3681
Mailing address
877 W CURTIS RD, SANFORD, MI 48657-9307
(989) 941-1656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001273
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/11/2017
Last updated
01/27/2021
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