Individual
MADISON HURTUBISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LBA, BCBA
Contact information
Practice address
640 SEMINOLE RD, NORTON SHORES, MI 49441-4720
(231) 332-3849
Mailing address
2661 LIBERTY RD, NORTON SHORES, MI 49441-3445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001275
MI
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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