Pantoja, Grace Rybicki

Pantoja, Grace Rybicki is an individual health care provider with primary practice located at 30330 Hickey Rd , Chesterfield MI 48051-3911. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Pantoja, Grace Rybicki can be contacted via phone (586) 421-4062.

Contact Information

Primary practice address
30330 Hickey Rd Chesterfield MI 48051-3911
Phone: (586) 421-4062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401001483 Michigan

Profile Details

NPI number 1720580616
LBN Legal business name Pantoja, Grace Rybicki
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Mar 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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