Individual
AMY O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3929 RUTHLAND DR, TROY, MI 48084-1727
(248) 765-6424
Mailing address
3929 RUTHLAND DR, TROY, MI 48084-1727
(248) 765-6424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6801046860
MI
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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