Individual
MADDALYN AGRESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5111 AUTO CLUB DR, DEARBORN, MI 48126-2749
(313) 406-5056
Mailing address
5111 AUTO CLUB DR, DEARBORN, MI 48126-2749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
05/04/2026
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