| Shine Aba Kids, Llc | |
|
5684 Perrytown Dr West Bloomfield MI 48322-1504 | |
| (248) 988-0482 | |
| Not Available |
| Full Name | Shine Aba Kids, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5684 Perrytown Dr, West Bloomfield, Michigan |
| Authorized Official Name and Position | Rubina Ramos (OWNER) |
| Authorized Official Contact | 2489880482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Aba Kids, Llc 5684 Perrytown Dr West Bloomfield MI 48322-1504 Ph: () - | Shine Aba Kids, Llc 5684 Perrytown Dr West Bloomfield MI 48322-1504 Ph: (248) 988-0482 |
| NPI Number | 1548082720 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548082720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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