Mallorae Elizabeth Theobald
NPI #1205292422 in Northville, Michigan
Provider Information
- NPI Number
- 1205292422
- Entity Type
- Individual
- Name
- Mallorae Elizabeth Theobald
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jan 4, 2016
- Last Updated
- Sep 19, 2019
Practice Location
- Address
- 43334 7 MILE RD
- City
- Northville
- State
- Michigan
- ZIP Code
- 48167-2249
- Phone
- (517) 898-4868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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