| Macomb Autism Center ,llc | |
|
43475 Dalcoma Dr Ste 208 Clinton Twp MI 48038-3593 | |
| (313) 732-1234 | |
| Not Available |
| Full Name | Macomb Autism Center ,llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 43475 Dalcoma Dr Ste 208, Clinton Twp, Michigan |
| Authorized Official Name and Position | Bhavana Vyas (CEO) |
| Authorized Official Contact | 3137321234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Autism Center ,llc 43475 Dalcoma Dr Ste 208 Clinton Twp MI 48038-3593 Ph: (313) 732-1234 | Macomb Autism Center ,llc 43475 Dalcoma Dr Ste 208 Clinton Twp MI 48038-3593 Ph: (313) 732-1234 |
| NPI Number | 1386369692 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386369692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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