| Bluebird Behavioral Services, Llc | |
|
2168 Center Grange Dr Byron Center MI 49315-9538 | |
| (248) 798-0474 | |
| Not Available |
| Full Name | Bluebird Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2168 Center Grange Dr, Byron Center, Michigan |
| Authorized Official Name and Position | Beth Ann Boogholt (CEO) |
| Authorized Official Contact | 2487980474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Behavioral Services, Llc Po Box 390 Byron Center MI 49315-0390 Ph: () - | Bluebird Behavioral Services, Llc 2168 Center Grange Dr Byron Center MI 49315-9538 Ph: (248) 798-0474 |
| NPI Number | 1578167458 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578167458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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