| Gifted Autism Services Llc | |
|
4557 13 Mile Rd Ne Rockford MI 49341-8623 | |
| (616) 213-2965 | |
| Not Available |
| Full Name | Gifted Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4557 13 Mile Rd Ne, Rockford, Michigan |
| Authorized Official Name and Position | Nicole White (BCBA/OWNER) |
| Authorized Official Contact | 6162132965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gifted Autism Services Llc 4557 13 Mile Rd Ne Rockford MI 49341-8623 Ph: (616) 213-2965 | Gifted Autism Services Llc 4557 13 Mile Rd Ne Rockford MI 49341-8623 Ph: (616) 213-2965 |
| NPI Number | 1063092989 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063092989 | NPI | - | NPPES |
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