| Alicia Kendall | |
|
5900 N Lilley Rd Ste 104 Canton MI 48187-3695 | |
| (734) 474-2958 | |
| Not Available |
| Full Name | Alicia Kendall |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5900 N Lilley Rd Ste 104, Canton, Michigan |
| Authorized Official Name and Position | Alicia Marie Kendall (OWNER) |
| Authorized Official Contact | 7344742958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Kendall 27601 Chester St Garden City MI 48135-2585 Ph: (734) 474-2958 | Alicia Kendall 5900 N Lilley Rd Ste 104 Canton MI 48187-3695 Ph: (734) 474-2958 |
| NPI Number | 1780081356 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780081356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1041827 (Michigan) | Primary |
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