Individual
MR. JEREMY EDWARD RAFACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA
Contact information
Practice address
1800 S 35TH ST, GALESBURG, MI 49053-9688
(269) 250-8200
Mailing address
1800 S 35TH ST, GALESBURG, MI 49053-9688
(269) 250-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001819
MI
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/16/2010
Last updated
12/12/2022
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