| Inspire Autism Llc | |
|
39525 W 14 Mile Rd Ste 100 Novi MI 48377-1635 | |
| (248) 417-4237 | |
| Not Available |
| Full Name | Inspire Autism Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 39525 W 14 Mile Rd Ste 100, Novi, Michigan |
| Authorized Official Name and Position | Payton Boudreau (FOUNDER/CCO) |
| Authorized Official Contact | 2484174237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Autism Llc 39525 W 14 Mile Rd Ste 100 Novi MI 48377-1635 Ph: (248) 417-4237 | Inspire Autism Llc 39525 W 14 Mile Rd Ste 100 Novi MI 48377-1635 Ph: (248) 417-4237 |
| NPI Number | 1003438052 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 10/10/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 2264871995 |
|---|---|
| Medicare Enrollment ID | O20240415002187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003438052 | NPI | - | NPPES |
| Provider Name | Monica C Boudreau |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932802170 PECOS PAC ID: 3274973854 Enrollment ID: I20240430001323 |
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