| Collaboration Station, Llc | |
|
5405 Murland Holw White Lake MI 48383-1347 | |
| (248) 755-7846 | |
| Not Available |
| Full Name | Collaboration Station, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5405 Murland Holw, White Lake, Michigan |
| Authorized Official Name and Position | Kelsey Ruffin (DIRECTOR) |
| Authorized Official Contact | 2487557846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaboration Station, Llc 5405 Murland Holw White Lake MI 48383-1347 Ph: () - | Collaboration Station, Llc 5405 Murland Holw White Lake MI 48383-1347 Ph: (248) 755-7846 |
| NPI Number | 1528742483 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528742483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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