Bright Child Therapy Llc | |
2222 W Grand River Ave Ste A Okemos MI 48864-1604 | |
(810) 228-5248 | |
Not Available |
Full Name | Bright Child Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 2222 W Grand River Ave Ste A, Okemos, Michigan |
Authorized Official Name and Position | Natasha Bouchillon (OWNER) |
Authorized Official Contact | 8102285248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Child Therapy Llc Po Box 118 Clio MI 48420-0118 Ph: (810) 228-5248 | Bright Child Therapy Llc 2222 W Grand River Ave Ste A Okemos MI 48864-1604 Ph: (810) 228-5248 |
NPI Number | 1467221481 |
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Provider Enumeration Date | 01/02/2024 |
Last Update Date | 01/02/2024 |
Certification Date | 01/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467221481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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