Individual
GAVIN ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43401 DANIEL DR, VAN BUREN TOWNSHIP, MI 48111-5378
(313) 676-3484
Mailing address
43401 DANIEL DR, VAN BUREN TOWNSHIP, MI 48111-5378
(313) 676-3484
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
A900000632611
MI
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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