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Contact Information

RAFAELA ANTONIADOU
31745 E DITNER DR
ROCKWOOD, MI48173-1014
 Phone: 313-723-3609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
 

Technician/Technologist

156F00000X
Indicates primary specialty

NPI Profile & details for RAFAELA ANTONIADOU · (Female)

NPI Number 1104354307
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2017
Last updated 11/03/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 7401001944
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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