Individual provider · NPI-1
Lea Aguinaga
Technician, Other · Detroit, MI
NPI number1437627072
StatusActive
Last updated in NPPESDec 27, 2021
Details
- NPI
- 1437627072
- Entity type
- Individual (NPI-1)
- Name
- Lea Aguinaga
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2018
- Certification date
- Dec 27, 2021
- Last updated
- Dec 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
400 Renaissance Ctr Ste 2600Detroit, MI 48243-1502
Phone 855-832-6727
Mailing address
388 Hamilton RdMount Morris, MI 48458-8938
Phone 810-358-4896
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