Individual
LEA AGUINAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
(855) 832-6727
Mailing address
388 HAMILTON RD, MOUNT MORRIS, MI 48458-8938
(810) 358-4896
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
12/27/2021
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