Individual
ANDREA MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8175 MOVIE DR, BRIGHTON, MI 48116-7444
(248) 277-3005
Mailing address
8175 MOVIE DR, BRIGHTON, MI 48116-7444
(248) 277-3005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002160
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/07/2020
Last updated
08/16/2023
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