Individual
VICTORIA PUCHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48075-2436
(248) 483-7804
Mailing address
24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48075-2436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000989
MI
247200000X
Other Technician
—
—
Other
Enumeration date
12/11/2013
Last updated
01/17/2020
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