| Big Moon Therapy Llc | |
|
2920 21st St Hopkins MI 49328-9663 | |
| (616) 287-0120 | |
| Not Available |
| Full Name | Big Moon Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2920 21st St, Hopkins, Michigan |
| Authorized Official Name and Position | Jennifer L Zapolnik (OWNER/BCBA) |
| Authorized Official Contact | 6162870120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Moon Therapy Llc Po Box 33 Hopkins MI 49328-0033 Ph: (616) 287-0120 | Big Moon Therapy Llc 2920 21st St Hopkins MI 49328-9663 Ph: (616) 287-0120 |
| NPI Number | 1578387189 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578387189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |