Fenton Aba Inc | |
212 W Silver Lake Rd Fenton MI 48430-2606 | |
(810) 629-3070 | |
Not Available |
Full Name | Fenton Aba Inc |
---|---|
Speciality | Behavior Analyst |
Location | 212 W Silver Lake Rd, Fenton, Michigan |
Authorized Official Name and Position | Juan Alvarado (PRESIDENT AND CEO) |
Authorized Official Contact | 8106293070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fenton Aba Inc 212 W Silver Lake Rd Fenton MI 48430-2606 Ph: (810) 629-3070 | Fenton Aba Inc 212 W Silver Lake Rd Fenton MI 48430-2606 Ph: (810) 629-3070 |
NPI Number | 1063249381 |
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Provider Enumeration Date | 09/19/2024 |
Last Update Date | 09/19/2024 |
Certification Date | 09/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063249381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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