Individual
VICTORIA LYNNE NAMISNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(269) 291-6360
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-70709
IN
103K00000X
Behavior Analyst
Primary
7401003158
MI
106S00000X
Behavior Technician
RBT-18-58485
IN
Other
Enumeration date
08/26/2020
Last updated
01/30/2026
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