Individual
MS. ALEXANDRA VICTORIA GAZIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16700 17 MILE RD, CLINTON TOWNSHIP, MI 48038-7325
(586) 228-2300
(586) 228-2300
Mailing address
16700 17 MILE RD, CLINTON TOWNSHIP, MI 48038-7325
(586) 228-2300
(586) 228-2300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
G900000694157
MI
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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