Big Moon Therapy Llc | |
2920 21st St Hopkins MI 49328-9663 | |
(616) 287-0120 | |
Not Available |
Full Name | Big Moon Therapy Llc |
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Speciality | Behavior Analyst |
Location | 2920 21st St, Hopkins, Michigan |
Authorized Official Name and Position | Jennifer L Zapolnik (OWNER/BCBA) |
Authorized Official Contact | 6162870120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Big Moon Therapy Llc Po Box 33 Hopkins MI 49328-0033 Ph: (616) 287-0120 | Big Moon Therapy Llc 2920 21st St Hopkins MI 49328-9663 Ph: (616) 287-0120 |
NPI Number | 1578387189 |
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Provider Enumeration Date | 11/11/2024 |
Last Update Date | 11/20/2024 |
Certification Date | 11/20/2024 |
Identifier | Type | State | Issuer |
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1578387189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |