Individual
KAROLINE KENVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5877 LIVERNOIS RD STE 104, TROY, MI 48098-3100
(313) 550-0847
(312) 929-0324
Mailing address
5877 LIVERNOIS RD STE 104, TROY, MI 48098-3100
(313) 550-0847
(312) 929-0324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36100
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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