Masquigon Integrative Behavioral Health

NPI #1023710290 in Muskegon, Michigan

Provider Information

NPI Number: 1023710290
Entity Type: Organization
Organization Name: Masquigon Integrative Behavioral Health
Primary Specialty: Psychologist
Enumeration Date: Mar 20, 2023
Last Updated: Mar 20, 2023

Practice Location

Address: 221 W WEBSTER AVE
City: Muskegon
State: Michigan
ZIP Code: 49440-1294
Phone: (231) 215-3877

Authorized Official

Name: CARLA ANN KEVERN, BCBA, DTLLP, NCSP
Title: PRACTITIONER
Phone: (231) 215-3877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Psychologist - School — School	103TS0200X
Psychologist	103T00000X	Primary

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