Individual
KRISTINA BUCCELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
6625 DALY RD, WEST BLOOMFIELD, MI 48322-3410
(248) 737-3430
Mailing address
6625 DALY RD, WEST BLOOMFIELD, MI 48322-3410
(248) 737-3430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2017
Last updated
01/10/2022
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