| The Eic | |
|
18300 W 12 Mile Rd Southfield MI 48076-2670 | |
| (248) 559-5820 | |
| (248) 559-5822 |
| Full Name | The Eic |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18300 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Kris Rose (ACCOUNTANT) |
| Authorized Official Contact | 2489889356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Eic 32500 Telegraph Rd Suite 209 Bingham Farms MI 48025-2461 Ph: (248) 988-9356 | The Eic 18300 W 12 Mile Rd Southfield MI 48076-2670 Ph: (248) 559-5820 |
| NPI Number | 1902135791 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902135791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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