Individual
FADYA JEROJEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
238 WEDGEWOOD DR, CHARLOTTE, MI 48813-1020
(517) 574-6652
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12470966
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/05/2021
Last updated
03/08/2024
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