Individual
MR. PETER JOHN CANNELLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W GREENLAWN AVE STE 200, LANSING, MI 48910-2889
(517) 657-9220
(248) 712-4381
Mailing address
405 W GREENLAWN AVE STE 200, LANSING, MI 48910-2889
(517) 657-9220
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
04/07/2022
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