Individual
ALICE KVASNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
(313) 278-4601
Mailing address
5414 VIVIAN, WATERFORD, MI 48327-3145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/14/2025
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