| Intellistars Aba Mi | |
|
418 N Main St Fl 1 Royal Oak MI 48067-1813 | |
| (248) 770-3658 | |
| Not Available |
| Full Name | Intellistars Aba Mi |
|---|---|
| Speciality | Behavior Analyst |
| Location | 418 N Main St Fl 1, Royal Oak, Michigan |
| Authorized Official Name and Position | Miriam Greenwald (CHIEF CARING OFFICER) |
| Authorized Official Contact | 2487703658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intellistars Aba Mi 311 Boulevard Of Americas Ste 109 Lakewood NJ 08701-4788 Ph: (248) 770-3658 | Intellistars Aba Mi 418 N Main St Fl 1 Royal Oak MI 48067-1813 Ph: (248) 770-3658 |
| NPI Number | 1285324319 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285324319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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