| Blue Lakes Aba | |
|
8285 S Saginaw St Grand Blanc MI 48439-2468 | |
| (844) 854-6878 | |
| Not Available |
| Full Name | Blue Lakes Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8285 S Saginaw St, Grand Blanc, Michigan |
| Authorized Official Name and Position | Chris Robakiewicz (CEO) |
| Authorized Official Contact | 8448546878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lakes Aba 8285 S Saginaw St Grand Blanc MI 48439-2468 Ph: () - | Blue Lakes Aba 8285 S Saginaw St Grand Blanc MI 48439-2468 Ph: (844) 854-6878 |
| NPI Number | 1912664517 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912664517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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