NPI 1942716634 · live from the CMS NPI Registry
Paula Denise Anderson, Doctor of Ministry
Behavior Analyst in Detroit, MI. National Provider Identifier 1942716634, active.
NPI record
| NPI | 1942716634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 18629 W Mcnichols Rd, Detroit, MI 48219 |
| Practice phone | 313-541-1350 |
| Mailing address | 24300 Civic Center Dr, Southfield, MI 48033 |
| Enumerated | December 18, 2017 |
| Last updated | December 18, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 6401006801 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.