Organization
PATHWAYS TO POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LYNN GALAMAGA PAN (OWNER, BCBA)
(586) 209-3683
Entity
Organization
Contact information
Practice address
53869 CONNOR DR, CHESTERFIELD, MI 48051-3930
(586) 209-3683
Mailing address
53869 CONNOR DR, CHESTERFIELD, MI 48051-3930
(586) 209-3683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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