Khala Pace, NONE

NPI #1013685189 in Detroit, Michigan

Provider Information

NPI Number: 1013685189
Entity Type: Individual
Name: Khala Pace, NONE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: NONE
Enumeration Date: Sep 2, 2021
Last Updated: Sep 2, 2021

Practice Location

Address: 400 RENAISSANCE CTR STE 2600
City: Detroit
State: Michigan
ZIP Code: 48243-1502
Phone: (888) 922-2843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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