Individual
ADRIANNA MARISOL PENA-VAN DEN BOSSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC, BCABA
Contact information
Practice address
34441 8 MILE RD STE AND116, LIVONIA, MI 48152-4013
(734) 469-0513
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023863
MI
106E00000X
Assistant Behavior Analyst
0-21-12659
MI
Other
Enumeration date
06/13/2018
Last updated
04/09/2025
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