Individual
DAWN RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35270 NANKIN BLVD STE 501B, WESTLAND, MI 48185-7221
(313) 889-8780
Mailing address
35270 NANKIN BLVD STE 501B, WESTLAND, MI 48185-7221
(313) 889-8780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002078
MI
Other
Enumeration date
06/10/2016
Last updated
01/11/2025
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