Individual
KATELYN NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPSY., BCBA, LBA
Contact information
Practice address
32525 23 MILE RD, CHESTERFIELD, MI 48047-1995
(586) 228-9991
Mailing address
32525 23 MILE RD, CHESTERFIELD, MI 48047-1995
(586) 228-9991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001783
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/25/2017
Last updated
08/01/2022
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