Individual
JENNY LYNN GALAMAGA PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
53869 CONNOR DR, CHESTERFIELD, MI 48051-3930
(586) 209-3683
Mailing address
53869 CONNOR DR., CHESTERFIELD, MI 48051
(773) 241-4009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
003661
NY
103K00000X
Behavior Analyst
Primary
7401000363
MI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/05/2009
Last updated
01/22/2025
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