Individual
MARINA BOSCAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15420 19 MILE RD, CLINTON TOWNSHIP, MI 48038-6339
(586) 226-7007
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000510
MI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/09/2016
Last updated
03/08/2023
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