| Integrated Autism Center Llc | |
|
43475 Dalcoma Dr Ste 208 Clinton Twp MI 48038-3593 | |
| (586) 263-1818 | |
| (586) 314-6044 |
| Full Name | Integrated Autism Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 43475 Dalcoma Dr Ste 208, Clinton Twp, Michigan |
| Authorized Official Name and Position | Bhavana Vyas (PRESIDENT) |
| Authorized Official Contact | 3137321234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Autism Center Llc 43475 Dalcoma Dr Ste 208 Clinton Twp MI 48038-3593 Ph: (586) 263-1818 | Integrated Autism Center Llc 43475 Dalcoma Dr Ste 208 Clinton Twp MI 48038-3593 Ph: (586) 263-1818 |
| NPI Number | 1639846017 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639846017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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