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Individual

MR. CHRISTOPHER CHARLES MISSIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., BCBA

Contact information

Practice address
1800 S 35TH ST, GALESBURG, MI 49053-9688
(269) 484-1125
Mailing address
9616 PORTAGE RD, PORTAGE, MI 49002-7257
(269) 250-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22077
CA
247200000X
Other Technician

Other

Enumeration date
12/28/2012
Last updated
03/17/2018
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