Proud Moments Aba of Michigan Pllc

NPI #1033726229 in Southfield, Michigan

Provider Information

NPI Number: 1033726229
Entity Type: Organization
Organization Name: Proud Moments Aba of Michigan Pllc
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 30, 2020
Last Updated: Sep 30, 2020

Practice Location

Address: 25129 PIERCE ST
City: Southfield
State: Michigan
ZIP Code: 48075-2019
Phone: (718) 215-5311

Authorized Official

Name: PATTY BUIOCCHI
Title: COO
Phone: (718) 215-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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