Organization
PROUD MOMENTS ABA OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY BUIOCCHI (COO)
(718) 215-5311
Entity
Organization
Contact information
Practice address
25129 PIERCE ST, SOUTHFIELD, MI 48075-2019
(718) 215-5311
Mailing address
1449 37TH ST STE 100, BROOKLYN, NY 11218-4381
(718) 215-5311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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