| Michigan State University | |
|
325 W Grand River Ave East Lansing MI 48823 | |
| (517) 355-1900 | |
| Not Available |
| Full Name | Michigan State University |
|---|---|
| Speciality | Behavior Analyst |
| Location | 325 W Grand River Ave, East Lansing, Michigan |
| Authorized Official Name and Position | Joshua Plavnick (DIRECTOR) |
| Authorized Official Contact | 5174328346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan State University 620 Farm Lane #341 East Lansing MI 48824 Ph: (517) 432-8346 | Michigan State University 325 W Grand River Ave East Lansing MI 48823 Ph: (517) 355-1900 |
| NPI Number | 1427443274 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427443274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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