Individual
MRS. JACQUELINE PANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MS
Contact information
Practice address
1779 W BIG BEAVER RD, TROY, MI 48084-3510
(248) 561-0130
Mailing address
437 GREENAN LN, LAKE ORION, MI 48362-2174
(248) 561-0130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
02/28/2024
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