| Asd Smart Kids | |
|
337 Sylvan Dr Canton MI 48188-1596 | |
| (313) 412-6451 | |
| Not Available |
| Full Name | Asd Smart Kids |
|---|---|
| Speciality | Behavior Analyst |
| Location | 337 Sylvan Dr, Canton, Michigan |
| Authorized Official Name and Position | Michael B Carrauthers. (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3134126451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asd Smart Kids 337 Sylvan Dr Canton MI 48188-1596 Ph: (313) 412-6451 | Asd Smart Kids 337 Sylvan Dr Canton MI 48188-1596 Ph: (313) 412-6451 |
| NPI Number | 1407325145 |
|---|---|
| Provider Enumeration Date | 11/23/2018 |
| Last Update Date | 11/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407325145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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