| Spectrum Autism Center Llc | |
|
3949 N River Rd Freeland MI 48623-8856 | |
| (989) 702-2082 | |
| (989) 355-1398 |
| Full Name | Spectrum Autism Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3949 N River Rd, Freeland, Michigan |
| Authorized Official Name and Position | Leasa Androl (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9897022082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Autism Center Llc 3949 N River Rd Freeland MI 48623-8856 Ph: (989) 702-2082 | Spectrum Autism Center Llc 3949 N River Rd Freeland MI 48623-8856 Ph: (989) 702-2082 |
| NPI Number | 1275916363 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275916363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-1416719 (* (Not Available)) | Primary |
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