Individual
ERICA BASTIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7448 SHARP RD, SWARTZ CREEK, MI 48473-9409
(313) 820-9093
Mailing address
7448 SHARP RD, SWARTZ CREEK, MI 48473-9409
(313) 820-9093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/06/2015
Last updated
07/07/2015
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