Individual
VICKI THORNBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
7831 W YZ AVE, SCHOOLCRAFT, MI 49087-8736
(269) 370-1356
Mailing address
7831 W YZ AVE, SCHOOLCRAFT, MI 49087-8736
(269) 370-1356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
08/31/2022
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