Individual provider · NPI-1
Dr. Paula Denise Anderson, Doctor of Ministry
Behavior Analyst · Detroit, MI
NPI number1942716634
StatusActive
Last updated in NPPESDec 18, 2017
Details
- NPI
- 1942716634
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paula Denise Anderson
- Credential
- Doctor of Ministry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2017
- Last updated
- Dec 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 6401006801 | MI | Yes |
Practice location
18629 W Mcnichols RdDetroit, MI 48219-4131
Phone 313-541-1350
Mailing address
24300 Civic Center DrSouthfield, MI 48033-2563
Phone 734-991-6237
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