Individual
KSENIA ZAKHAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 CAMPUS DR N, WATERFORD, MI 48328-2754
(248) 475-6300
Mailing address
925 VILLAGE GREEN LN APT 2064, WATERFORD, MI 48328-2472
(248) 820-1089
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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