Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-17-26089 | |
N | 106E00000X | Assistant Behavior Analyst | 0-16-7266 | MI |
NPI | 1073050324 |
---|---|
Provider Name | Alaina Voller |
First Address | Brighton, MI 48116-8533 |
Second Address | Brighton, MI 48116-8533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2017 |
Last Update Date | 09/11/2018 |