North Oakland Autism Center, Llc | |
824 Heather Lake Dr Clarkston MI 48348-3648 | |
(248) 895-2047 | |
Not Available |
Full Name | North Oakland Autism Center, Llc |
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Speciality | Behavior Analyst |
Location | 824 Heather Lake Dr, Clarkston, Michigan |
Authorized Official Name and Position | Susan Ruffini (BOARD CERTIFIED BEHAVIORAL ANALYSIS) |
Authorized Official Contact | 2488952047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Oakland Autism Center, Llc 824 Heather Lake Dr Clarkston MI 48348-3648 Ph: (248) 895-2047 | North Oakland Autism Center, Llc 824 Heather Lake Dr Clarkston MI 48348-3648 Ph: (248) 895-2047 |
NPI Number | 1497179279 |
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Provider Enumeration Date | 02/13/2014 |
Last Update Date | 02/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497179279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-13-14122 (Michigan) | Primary |
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