Most Relevant Information
Provider Data
NPI Number: | 1003455726 |
Provider Name: | KATIA MONIQUE THORSVIK OLSON RBT |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-19-108924 |
Most Important Dates
Enumeration Date: | 12/27/2019 |
Last Updated: | 03/23/2022 |
Provider Practice Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345312
Practice Location Phone/Fax
Phone: | 7326418426 |
Fax: |
Provider Mailing Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345312
Provider Mailing Phone/Fax
Phone: | |
Fax: |