Individual
ALICIA MARIE WARGOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MLP, BCBA, LBA
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(734) 521-5611
Mailing address
17526 FARMCREST LN, NORTHVILLE, MI 48168-2235
(734) 521-5611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-04-1827
MI
103K00000X
Behavior Analyst
7401000577
MI
103T00000X
Psychologist
Primary
6361005925
MI
Other
Enumeration date
12/29/2009
Last updated
10/13/2023
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