| Promenade Autism Services, Pllc | |
|
7379 Wren Dr Davison MI 48423-7819 | |
| (810) 444-1884 | |
| Not Available |
| Full Name | Promenade Autism Services, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7379 Wren Dr, Davison, Michigan |
| Authorized Official Name and Position | Tina Marie Mueller (BCBA) |
| Authorized Official Contact | 8104441884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promenade Autism Services, Pllc 7379 Wren Dr Davison MI 48423-7819 Ph: (810) 444-1884 | Promenade Autism Services, Pllc 7379 Wren Dr Davison MI 48423-7819 Ph: (810) 444-1884 |
| NPI Number | 1013652304 |
|---|---|
| Provider Enumeration Date | 05/01/2022 |
| Last Update Date | 05/01/2022 |
| Certification Date | 05/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013652304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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