| Carlyle Center Llc | |
|
347 Belanger St Grosse Pointe Farms MI 48236-3333 | |
| (313) 580-9716 | |
| Not Available |
| Full Name | Carlyle Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 347 Belanger St, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | Kyle Steiner (MANAGING DIRECTOR) |
| Authorized Official Contact | 3135809716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlyle Center Llc 347 Belanger St Grosse Pointe Farms MI 48236-3333 Ph: (313) 580-9716 | Carlyle Center Llc 347 Belanger St Grosse Pointe Farms MI 48236-3333 Ph: (313) 580-9716 |
| NPI Number | 1184195125 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184195125 | NPI | - | NPPES |
| 1598123556 | Other | BACB | |
| 106S00000X | Other | NUCC | |
| 1962892935 | Other | BACB | |
| 1518510239 | Other | BACB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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