Individual
STEPHANIE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19853 OUTER DR, DEARBORN, MI 48124-2066
(313) 633-0967
Mailing address
8736 INDIGO LN, YPSILANTI, MI 48197-1065
(787) 955-8110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30270
—
Other
Enumeration date
07/04/2016
Last updated
09/26/2019
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