Individual
GRACE RYBICKI PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30330 HICKEY RD, CHESTERFIELD, MI 48051-3911
(586) 421-4062
Mailing address
30330 HICKEY RD, CHESTERFIELD, MI 48051-3911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001483
MI
103K00000X
Behavior Analyst
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
03/06/2018
Last updated
03/07/2024
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