Most Relevant Information
Provider Data
| NPI Number: | 1003410333 |
| Provider Name: | KAYLA MICHEAU |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/27/2020 |
| Last Updated: | 11/27/2020 |
Provider Practice Location
5281 CLYDE PARK AVE SW STE 2
WYOMING
MI
495099506
Practice Location Phone/Fax
| Phone: | 6167194263 |
| Fax: | 6167194267 |
Provider Mailing Location
2954 134TH AVE
HOPKINS
MI
493289748
Provider Mailing Phone/Fax
| Phone: | 9063999450 |
| Fax: |