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Individual

RECONNA ROCHELLE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991
Mailing address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001776
MI
106S00000X
Behavior Technician

Other

Enumeration date
09/14/2015
Last updated
08/15/2023
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