Avanza Aba, Pllc | |
2413 Boston Blvd Lansing MI 48910-2466 | |
(269) 806-4116 | |
Not Available |
Full Name | Avanza Aba, Pllc |
---|---|
Speciality | Behavior Analyst |
Location | 2413 Boston Blvd, Lansing, Michigan |
Authorized Official Name and Position | Christopher Brumm (OWNER) |
Authorized Official Contact | 5177986978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avanza Aba, Pllc 2413 Boston Blvd Lansing MI 48910-2466 Ph: () - | Avanza Aba, Pllc 2413 Boston Blvd Lansing MI 48910-2466 Ph: (269) 806-4116 |
NPI Number | 1174218838 |
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Provider Enumeration Date | 04/10/2023 |
Last Update Date | 04/11/2024 |
Certification Date | 04/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174218838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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