| Momentum Autism Therapy Services | |
|
42861 Stratford Dr Belleville MI 48111-1729 | |
| (248) 919-8627 | |
| Not Available |
| Full Name | Momentum Autism Therapy Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 42861 Stratford Dr, Belleville, Michigan |
| Authorized Official Name and Position | Landria Green (PRESIDENT) |
| Authorized Official Contact | 2489198627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Autism Therapy Services 42861 Stratford Dr Belleville MI 48111-1729 Ph: (248) 919-8627 | Momentum Autism Therapy Services 42861 Stratford Dr Belleville MI 48111-1729 Ph: (248) 919-8627 |
| NPI Number | 1447709548 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447709548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | 7101000784 (Michigan) | Secondary |
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