Individual
HEATHER MANCINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
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
7401002006
MI
Other
Enumeration date
02/02/2023
Last updated
01/21/2025
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