Individual
MISS STEPHANIE MARIE PACKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42804 GARFIELD RD, CLINTON TOWNSHIP, MI 48038
(586) 323-2957
(586) 323-0022
Mailing address
67771 LAKE ANGELA DR, RICHMOND, MI 48062-1686
(586) 703-3722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3407
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/11/2016
Last updated
10/06/2025
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