Individual
MARINA PUSZCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
13412 W STAR DR, SHELBY TOWNSHIP, MI 48315-2705
(586) 251-2556
(586) 884-0699
Mailing address
13412 W STAR DR, SHELBY TOWNSHIP, MI 48315-2705
(586) 251-2556
(586) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001596
MI
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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