Individual
AJIA LIEBETREU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31558 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-1805
(734) 474-2958
Mailing address
31557 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-1848
(734) 474-2958
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/01/2019
Last updated
08/04/2021
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