| Blue Lakes Autism Center | |
|
8283 Office Park Dr Grand Blanc MI 48439-2032 | |
| (108) 321-3001 | |
| (810) 694-0313 |
| Full Name | Blue Lakes Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8283 Office Park Dr, Grand Blanc, Michigan |
| Authorized Official Name and Position | Christopher Robakiewicz (CEO) |
| Authorized Official Contact | 8104980098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lakes Autism Center 8285 S Saginaw St Grand Blanc MI 48439-2468 Ph: (810) 498-0098 | Blue Lakes Autism Center 8283 Office Park Dr Grand Blanc MI 48439-2032 Ph: (108) 321-3001 |
| NPI Number | 1376123885 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376123885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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