| Infinity Autism Service | |
|
17940 Farmington Rd. Ste #205 Livonia MI 48152 | |
| (313) 889-8780 | |
| (800) 661-4514 |
| Full Name | Infinity Autism Service |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17940 Farmington Rd., Livonia, Michigan |
| Authorized Official Name and Position | Dawn Rucker (BEHAVIOR ANALYST) |
| Authorized Official Contact | 3138898780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Autism Service 17940 Farmington Rd 205 Livonia MI 48152 Ph: (313) 889-8780 | Infinity Autism Service 17940 Farmington Rd. Ste #205 Livonia MI 48152 Ph: (313) 889-8780 |
| NPI Number | 1932974235 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932974235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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