| Synthesis Aba Llc | |
|
Kasten Industrial Park, Suit 110 Portage MI 49002 | |
| (812) 320-8303 | |
| Not Available |
| Full Name | Synthesis Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | Kasten Industrial Park, Suit 110, Portage, Michigan |
| Authorized Official Name and Position | Muhammed S Conteh (CEO, BCBA) |
| Authorized Official Contact | 8123208303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synthesis Aba Llc Kasten Industrial Park, Suit 110 Portage MI 49002 Ph: (812) 320-8303 | Synthesis Aba Llc Kasten Industrial Park, Suit 110 Portage MI 49002 Ph: (812) 320-8303 |
| NPI Number | 1255924916 |
|---|---|
| Provider Enumeration Date | 02/13/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255924916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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