| Pathways To Potential | |
|
53869 Connor Dr Chesterfield MI 48051-3930 | |
| (586) 209-3683 | |
| Not Available |
| Full Name | Pathways To Potential |
|---|---|
| Speciality | Behavior Analyst |
| Location | 53869 Connor Dr, Chesterfield, Michigan |
| Authorized Official Name and Position | Jenny Lynn Galamaga Pan (OWNER, BCBA) |
| Authorized Official Contact | 5862093683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Potential 53869 Connor Dr Chesterfield MI 48051-3930 Ph: (586) 209-3683 | Pathways To Potential 53869 Connor Dr Chesterfield MI 48051-3930 Ph: (586) 209-3683 |
| NPI Number | 1174385942 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174385942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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