Individual
STEPHEN GAITENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4807 TRUMBULL ST, DETROIT, MI 48208-2267
(586) 872-9650
Mailing address
4807 TRUMBULL ST, DETROIT, MI 48208-2267
(586) 872-9650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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